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Early Results of Modified Aortic‐Valve Sparing Partial Root Replacement in Acute Type A Aortic Dissection with an Intimal Tear in the Aortic Sinuses
Author(s) -
Lee Sung Kwang,
Min HoKi,
Heo Woon,
Kang Do Kyun,
Jun Hee Jae,
Hwang YounHo
Publication year - 2015
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12524
Subject(s) - medicine , aortic root , aortic dissection , aortic valve , cardiology , dissection (medical) , surgery , aorta
ABSTRACT We describe a modified aortic valve‐sparing partial root replacement (AVSPRR) technique for acute type A aortic dissection with an intimal tear (IT) in the aortic sinus. This procedure consists of selective replacement of the sinus containing an IT with a rectangular patch. If an IT exists in any coronary sinus, the coronary button was reimplanted to the neo‐sinus and an external wrapping of the noncoronary sinus was added. Modified AVSPRR may be considered a feasible short‐term outcome, and may be considered as an option in selected patients. doi: 10.1111/jocs.12524 (J Card Surg 2015;30:448–451)