Mini-access re-implantation valve-sparing aortic root replacement in acute DeBakey type II dissection / Cangsong Xiao, Yang Wu, Weihua Ye.
This video starts with an explanation of preoperative assessment, anesthetic management, and surgical preparation. Key steps of the procedure are precisely illustrated. Following is a demonstration of a mini access valve-sparing aortic root replacement through upper hemi-sternotomy using re-implanta...
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| Main Author: | |
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| Format: | Electronic |
| Language: | English |
| Published: |
Berlin, Germany :
Springer,
2019.
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| Subjects: | |
| Online Access: | Click for online access |
| Summary: | This video starts with an explanation of preoperative assessment, anesthetic management, and surgical preparation. Key steps of the procedure are precisely illustrated. Following is a demonstration of a mini access valve-sparing aortic root replacement through upper hemi-sternotomy using re-implantation technique in a Marfan syndrome patient with acute DeBakey type II dissection. The video aims to familiarize the practitioners with the whole process, thereby increasing confidence of surgical success. Acute aortic dissection as life threatening disease; DeBakey type II dissection is limited to an ascending aorta only. Aortic root replacement can be performed with replacement of the aortic valve using a prosthetic valve or by preserving the aortic valve in a valve-sparing root replacement. Coronary button anastomoses are the crucial part of operation strategy performance. This video presents a 27-year-old male patient suffering from sudden chest pain and diagnosed with acute dissection. Pre-operative TTE showed normal tricuspid leaflet and severe aortic valve regurgitation. The surgical plan includes upper hemi-sternotomy and cardiopulmonary bypass set-up, coronary button preparation and aortic root mobilization, sizing for tube graft and sub-annulus suture placement, commissure and sinus remnant re-attached to graft with left and right coronary button anastomosis. Post-operative recovery was uneventful and the patient was discharged home without any complication. Key to performance of success is to precisely secure the three commissures on the graft to optimize leaflet coaptation. |
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| Item Description: | Title from resource description page (viewed March 16, 2020). |
| Physical Description: | 1 online resource (13 minutes) |
| Playing Time: | 00:12:43 |
| Participant or Performer: | Presenter: Cangsong Xiao. |
| Language: | In English. |