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A Technique for Avoiding Patient–Prosthesis Mismatch in the Small Aortic Root
Author(s) -
Alameddine Abdallah K.,
Alimov Victor K.,
Pluchino Fabrizio
Publication year - 2016
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.12741
Subject(s) - medicine , prosthesis , aortic root , calcification , anastomosis , surgery , cardiology , radiology , aorta
In the small aortic root, extremely weakened tissue and extensive calcification predispose toward the implantation of small prostheses, anastomotic bleeding, and paravalvular leaks. We describe a procedure in which a “homemade” composite mechanical prosthesis‐conduit is implanted in a supra‐annular position in two patients with a small aortic root. This technique facilitates the placement of a larger prosthesis, thus avoiding patient–prosthesis mismatch. doi: 10.1111/jocs.12741 (J Card Surg 2016;31:309–310)