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Interact CardioVasc Thorac Surg 2009;8:584-586. doi:10.1510/icvts.2008.197574 © 2009 European Association of Cardio-Thoracic Surgery
Aortic root replacement using the reimplantation technique: tips and tricks
a Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Canada
*Corresponding author. Service de Chirurgie Cardiovasculaire et Thoracique, Cliniques Universitaires Saint-Luc UCL 90, Avenue Hippocrate 10, Brussels B-1200, Belgium. Tel.: +32-2-764-6106; fax: +32-2-764-8960. Aortic valve (AV) sparing procedures are increasingly being used to treat aortic root pathology. Reimplantation of the aortic valve, first described by Dr Tirone David, is a technically demanding procedure whose long-term results are critically dependent on perfect intraoperative restoration of valve anatomy and function. There exists significant variation in how this procedure is performed by different surgeons, which is likely contributory to the heterogeneity in reported results. We describe a systematic approach to aortic valve reimplantation procedure focusing on key technical aspects.
Key Words: Aortic valve reimplantation; Valve sparing; Surgical technique; Aortic root replacement; Aortic valve prolapse
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