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Eur J Cardiothorac Surg 2005;27:925-926
© 2005 Elsevier Science NL

How-to-do-it

A simple method to adapt the height of the sinotubular junction of the De Paulis Valsalva graft to the height of the patient's sinuses in David reimplantation procedure

Department of Cardiac Surgery, G. Mazzini Hospital, 64100 Teramo, Italy

Received 3 December 2004; received in revised form 28 January 2005; accepted 2 February 2005.

^* Corresponding author. Tel.: +39 0861 429 690; fax: +39 0861 429 687. (E-mail: sandromaz{at}tin.it).

De Paulis and associated introduced a new aortic root conduit for valve-sparing operation. The use of this prosthesis for David I (reimplantation) procedure occasionally may be problematic when the top of the commissures, do not match the new sinotubular junction of the graft. We propose a simple method that allows to create a new sinotubular junction at the desired level in the skirt portion of the Valsalva prosthesis.

Key Words: Aortic valve-sparing procedure • Aortic root surgery

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				F. Settepani, W. Y. Szeto, D. Pacini, R. De Paulis, L. Chiariello, R. Di Bartolomeo, R. Gallotti, and J. E. Bavaria Reimplantation Valve-Sparing Aortic Root Replacement in Marfan Syndrome Using the Valsalva Conduit: An Intercontinental Multicenter Study Ann. Thorac. Surg., February 1, 2007; 83(2): S769 - S773. [Abstract] [Full Text] [PDF]

				D. Maselli and G. Minzioni A technique to reposition sinotubular junction in aortic valve reimplantation procedures with the De Paulis Valsalva graft Eur. J. Cardiothorac. Surg., January 1, 2006; 29(1): 107 - 109. [Abstract] [Full Text] [PDF]