Suspending Commissural Sutures for Aortic Valve Exposure in Minithoracotomy Aortic Valve Replacement
Although it is attractive, a limitation of aortic valve (AV) replacement (AVR) through a mini-thoracotomy approach (mini-AVR) is the limited exposure of the AV. Here, we present a simple exposure technique named “suspending commissural sutures” for a more efficient mini-AVR. The technique involve...
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| Autores principales: | , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Korean Society for Thoracic & Cardiovascular Surgery
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/90c5dead1149482983d26aa332ba39e0 |
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| Sumario: | Although it is attractive, a limitation of aortic valve (AV) replacement (AVR) through a
mini-thoracotomy approach (mini-AVR) is the limited exposure of the AV. Here, we present
a simple exposure technique named “suspending commissural sutures” for a more efficient
mini-AVR. The technique involves making 3 half-depth stitches with 1-0 silk at each of the
commissures, which are anchored to each corresponding pericardial surface. These stitches
are tightened up so that the aortic root is axially expanded and is pulled upward. The
technique of suspending commissural stitches seems to offer reasonable exposure of the
AV in mini-AVR, and shows excellent early surgical outcomes. |
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