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Eur J Cardiothorac Surg 2007;31:939-940. doi:10.1016/j.ejcts.2007.01.056
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

How-to-do-it

Replacing the diseased aortic valve and the proximal aorta in the elderly patient

^a Department of Cardiac Surgery, Schuechtermann Klinik, 49214 Bad Rothenfelde, Germany
^b University of Witten/Herdecke, 58448 Witten, Germany

Received 9 August 2006; received in revised form 19 December 2006; accepted 8 January 2007.

^_* Corresponding author. Address: Schuechtermann Klinik, Ulmenallee 11, 49214 Bad Rothenfelde, Germany. Tel.: +49 5424 641 651; fax: +49 5424 641 653. (Email: ajohn{at}schuechtermann-klinik.de).

Subcoronary implantation of the Medtronic stentless bioprosthesis and an extension using a vascular tube prosthesis provide a safer alternative to the more invasive conventional composite graft replacement or a full root replacement using a homograft or a stentless valve. The advantage lies in eliminating the need for coronary mobilisation and anastomosis which actually lead to the increased risk in those procedures.

Key Words: Aortic stenosis • Aneurysm • Stentless valve