A novel method for repairing aortic regurgitation due to commissural detachment

Takeshi Shimamoto; Tatsuhiko Komiya; Genichi Sakaguchi

doi:10.1016/j.athoracsur.2010.12.009

A novel method for repairing aortic regurgitation due to commissural detachment

Ann Thorac Surg. 2011 May;91(5):1628-9. doi: 10.1016/j.athoracsur.2010.12.009.

Authors

Takeshi Shimamoto¹, Tatsuhiko Komiya, Genichi Sakaguchi

Affiliation

¹ Department of Cardiovascular Surgery, Kurashiki Central Hospital, Okayama, Japan. [email protected]

PMID: 21524485
DOI: 10.1016/j.athoracsur.2010.12.009

Abstract

Currently, aortic valve replacement is the mainstay treatment for aortic regurgitation due to commissural detachment. Herein, we report a novel technique of aortic root and commissural repair and its intermediate clinical outcome in patients with significant aortic regurgitation caused by commissural detachment. The detached commissure and aortic root were treated concomitantly by en bloc reattachment of the detached commissure and aortic wall by using multiple pledgeted sutures, in addition to aortic root reimplantation.

MeSH terms

Aorta, Thoracic / surgery
Aortic Valve / pathology
Aortic Valve / surgery*
Aortic Valve Insufficiency / diagnostic imaging
Aortic Valve Insufficiency / etiology
Aortic Valve Insufficiency / surgery*
Cardiac Surgical Procedures / methods*
Chordae Tendineae / surgery
Echocardiography, Doppler
Follow-Up Studies
Humans
Plastic Surgery Procedures / methods
Replantation / methods
Retrospective Studies
Sampling Studies
Treatment Outcome