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Chirurgia 2011 April;24(2):71-3

language: English

Modified free-edge suspension technique concomitant with aortic root reimplantation for treating annuloaortic ectasia with stretched cusps

Shimamoto T., Komiya T., Sakaguchi G., Kanno K.

Department of Cardiovascular Surgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan


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We report a successful surgical management of annuloaortic ectasia with stretched cusps by performing free-edge suspension of all 3 cusps by using thin Gore-Tex sutures with concomitant aortic root reimplantation. Thin Gore-Tex sutures were tied initially at nodule of Arantius and run bidirectinally up to commissures, so that all cusps were uniformly suspended accurately and the Arantius nodule was at the center of coaptation. Free margin suspension before performing aortic root reimplantation may have easily yielded optimal geometry of the aortic root with reasonable cusp coaptation and insignificant prolapse.

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