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Eur J Cardiothorac Surg 2006;29:107-109
© 2006 Elsevier Science NL

How-to-do-it

A technique to reposition sinotubular junction in aortic valve reimplantation procedures with the De Paulis Valsalva graft

Department of Cardiac Surgery, Azienda Ospedaliera Universitaria Pisana, Via Paradisa n° 2, 56124 Pisa, Italy

Received 26 September 2005; received in revised form 19 October 2005; accepted 25 October 2005.

^_* Corresponding author. Tel.: +39 0 5099 5261; fax: +39 0 5099 5271. (Email: dmaselli{at}tiscali.it).

Sinotubular junction reconstruction in reimplantation type of valve-sparing aortic procedure can present some problem when a Valsalva graft is used. Since in the Valsalva graft the sinotubular junction height is predetermined, correct matching with native commissures height can be difficult. We propose a method by which it is possible to create a new sinotubular junction in Valsalva graft without altering its original configuration.

Key Words: Aortic valve-sparing operation • Sinuses of Valsalva • Aortic valve reimplantation

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