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Full Root Replacement with Stentless Valves Should Be More Frequently Performed

Full Root Replacement with Stentless Valves Should Be More Frequently Performed EDITORIAL Full Root Replacement with Stentless Valves Should Be More Frequently Performed Daniel Loisance, MD France Full root aortic replacement with a stentless tissue results with the stentless valve should give potential valve has been introduced over the past 15 years. At users increased confi dence in this approach; freedom the start, this operation was considered complex surgery from reoperation was extremely high (98%) at 9 years. to be performed only by highly experienced surgeons In addition, ongoing studies by our group, looking at used to homograft surgery. Today, various reasons lead morphological changes and calcifi cation of the aortic us to revisit the role of the stentless valve in aortic wall using magnetic resonance imaging, do not show any surgery. The technique of full root replacement is now reason to worry about structural changes in the aortic well standardized. After accurate sizing, a continuous wall with a stentless valve. These characteristics should running suture allows subannular implantation of the lead us to revisit the indications for stentless valves in valve, without any technical problem, even in the case various categories of patients. of an altered annulus (such as in redo surgery or highly calcifi ed aortic stenosis). Implantation http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Asian Cardiovascular and Thoracic Annals SAGE

Full Root Replacement with Stentless Valves Should Be More Frequently Performed

Loisance, Daniel
Asian Cardiovascular and Thoracic Annals , Volume 16 (6): 2 – Dec 1, 2008
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References (6)

Publisher
SAGE
Copyright
© 2008 SAGE Publications
ISSN
0218-4923
eISSN
1816-5370
DOI
10.1177/021849230801600601
pmid
18984749
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL Full Root Replacement with Stentless Valves Should Be More Frequently Performed Daniel Loisance, MD France Full root aortic replacement with a stentless tissue results with the stentless valve should give potential valve has been introduced over the past 15 years. At users increased confi dence in this approach; freedom the start, this operation was considered complex surgery from reoperation was extremely high (98%) at 9 years. to be performed only by highly experienced surgeons In addition, ongoing studies by our group, looking at used to homograft surgery. Today, various reasons lead morphological changes and calcifi cation of the aortic us to revisit the role of the stentless valve in aortic wall using magnetic resonance imaging, do not show any surgery. The technique of full root replacement is now reason to worry about structural changes in the aortic well standardized. After accurate sizing, a continuous wall with a stentless valve. These characteristics should running suture allows subannular implantation of the lead us to revisit the indications for stentless valves in valve, without any technical problem, even in the case various categories of patients. of an altered annulus (such as in redo surgery or highly calcifi ed aortic stenosis). Implantation

Journal

Asian Cardiovascular and Thoracic Annals – SAGE

Published: Dec 1, 2008

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