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:	Eunji Kim, Joon Bum Kim
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society for Thoracic & Cardiovascular Surgery 2021
Materias:	aortic valve replacement aortic valve exposure minimally invasive surgery Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/90c5dead1149482983d26aa332ba39e0
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spelling	oai:doaj.org-article:90c5dead1149482983d26aa332ba39e02021-12-03T02:03:50ZSuspending Commissural Sutures for Aortic Valve Exposure in Minithoracotomy Aortic Valve Replacement10.5090/jcs.21.0142765-16062765-1614https://doaj.org/article/90c5dead1149482983d26aa332ba39e02021-12-01T00:00:00Zhttps://doaj.org/toc/2765-1606https://doaj.org/toc/2765-1614Although 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.Eunji KimJoon Bum KimKorean Society for Thoracic & Cardiovascular Surgeryarticleaortic valve replacementaortic valve exposureminimally invasive surgeryMedicine (General)R5-920ENJournal of Chest Surgery, Vol 54, Iss 6, Pp 551-553 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aortic valve replacement aortic valve exposure minimally invasive surgery Medicine (General) R5-920
spellingShingle	aortic valve replacement aortic valve exposure minimally invasive surgery Medicine (General) R5-920 Eunji Kim Joon Bum Kim Suspending Commissural Sutures for Aortic Valve Exposure in Minithoracotomy Aortic Valve Replacement
description	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.
format	article
author	Eunji Kim Joon Bum Kim
author_facet	Eunji Kim Joon Bum Kim
author_sort	Eunji Kim
title	Suspending Commissural Sutures for Aortic Valve Exposure in Minithoracotomy Aortic Valve Replacement
title_short	Suspending Commissural Sutures for Aortic Valve Exposure in Minithoracotomy Aortic Valve Replacement
title_full	Suspending Commissural Sutures for Aortic Valve Exposure in Minithoracotomy Aortic Valve Replacement
title_fullStr	Suspending Commissural Sutures for Aortic Valve Exposure in Minithoracotomy Aortic Valve Replacement
title_full_unstemmed	Suspending Commissural Sutures for Aortic Valve Exposure in Minithoracotomy Aortic Valve Replacement
title_sort	suspending commissural sutures for aortic valve exposure in minithoracotomy aortic valve replacement
publisher	Korean Society for Thoracic & Cardiovascular Surgery
publishDate	2021
url	https://doaj.org/article/90c5dead1149482983d26aa332ba39e0
work_keys_str_mv	AT eunjikim suspendingcommissuralsuturesforaorticvalveexposureinminithoracotomyaorticvalvereplacement AT joonbumkim suspendingcommissuralsuturesforaorticvalveexposureinminithoracotomyaorticvalvereplacement
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Suspending Commissural Sutures for Aortic Valve Exposure in Minithoracotomy Aortic Valve Replacement

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