Valve-Sparing Root Replacement: Aortic Root Remodeling with External Subvalvular Ring Annuloplasty.
10.5090/kjtcs.2016.49.6.489
- Author:
Sang Ho CHO
1
;
Dae Hyun KIM
;
Young Tae KWAK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Korea. sinan75@khnmc.or.kr
- Publication Type:Note
- Keywords:
Aortic root;
Aortic aneurysm;
Aortic valve, surgery;
Cardiac valve annuloplasty
- MeSH:
Aneurysm;
Aortic Aneurysm;
Cardiac Valve Annuloplasty;
Korea;
Replantation
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(6):489-492
- CountryRepublic of Korea
- Language:English
-
Abstract:
The original valve-sparing procedures for aortic root aneurysms were remodeling and reimplantation of the aortic root. The remodeling technique provides more physiologic movement of the cusps within 3 reconstructed neo-sinuses, thus preserving root expansibility through the interleaflet triangles. However, the durability of remodeling has been a matter of concern due to the high rate of aortic insufficiency when annular dilation is not addressed. Therefore, a modified approach was developed, combining a physiologic remodeling of the root with a subvalvular annuloplasty. This case report highlights the first case of successful aortic root remodeling with external subvalvular ring annuloplasty in Korea.
