Aortic annulus elevation for aortic valve and root replacement
- Jama Jahanyar,
- Stefano Mastrobuoni,
- Daniel E. Munoz,
- Gaby Aphram,
- Laurent de Kerchove,
- Gebrine Elkhoury
Abstract
Aortic valve and root replacements require an in-depth understanding of
the aortic root and annulus. Both structures can be asymmetric at times,
and this needs to be recognized and taken into consideration when
peforming valve-sparing operations or other root-replacement procedures.
Moreover, the geometry of the aortic annulus can be altered, and when
performing an aortic root replacement this can distort the geometry of a
neo-aortic valve for instance, and lead to valve dysfunction, which is
difficult to reverse. We are describing an altered aortic annulus, which
required modification through annulus elevation before proceeding with
aortic root replacement with a graft-reinforced pulmonary-autograft.31 Dec 2021Submitted to Journal of Cardiac Surgery 04 Jan 2022Submission Checks Completed
04 Jan 2022Assigned to Editor
05 Jan 2022Review(s) Completed, Editorial Evaluation Pending
14 Jan 2022Editorial Decision: Accept