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Aortic annulus elevation for aortic valve and root replacement
  • +3
  • Jama Jahanyar,
  • Stefano Mastrobuoni,
  • Daniel E. Munoz,
  • Gaby Aphram,
  • Laurent de Kerchove,
  • Gebrine Elkhoury
Jama Jahanyar
Cliniques universitaires Saint-Luc
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Stefano Mastrobuoni
Cliniques universitaires Saint-Luc
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Daniel E. Munoz
Cliniques universitaires Saint-Luc
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Gaby Aphram
Cliniques universitaires Saint-Luc
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Laurent de Kerchove
Cliniques universitaires Saint-Luc
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Gebrine Elkhoury
Cliniques universitaires Saint-Luc
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Abstract

Aortic valve and root replacements require an in-depth understanding of the aortic root and annulus. Both structures can be asymmetric at times, and this needs to be recognized and taken into consideration when peforming valve-sparing operations or other root-replacement procedures. Moreover, the geometry of the aortic annulus can be altered, and when performing an aortic root replacement this can distort the geometry of a neo-aortic valve for instance, and lead to valve dysfunction, which is difficult to reverse. We are describing an altered aortic annulus, which required modification through annulus elevation before proceeding with aortic root replacement with a graft-reinforced pulmonary-autograft.

Peer review status:Published

31 Dec 2021Submitted to Journal of Cardiac Surgery
04 Jan 2022Assigned to Editor
04 Jan 2022Submission Checks Completed
05 Jan 2022Review(s) Completed, Editorial Evaluation Pending
14 Jan 2022Editorial Decision: Accept
24 Jan 2022Published in Journal of Cardiac Surgery. 10.1111/jocs.16261