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The Annals of Thoracic Surgery, Vol 48, 600-609, Copyright © 1989 by The Society of Thoracic Surgeons
MF O'Brien, DC McGiffin and EG Stafford
The geometry and degree of symmetry of the diseased aortic root and valve
dictate the technical method of implantation of the allograft aortic valve.
Five methods are available that are suitable for the full range of aortic
root disease: the small aortic root with a valve annulus diameter less than
21 mm, the common aortic valve lesions (valve annulus diameter, 21 to 29
mm), the aneurysmal noncoronary sinus, the moderately large annulus (valve
annulus diameter greater than 30 mm), and the aneurysmal aortic root and
dilated annulus. Implantation methods include the subcoronary technique,
miniroot inclusion technique, and aortic root replacement. Technical
variations such as valve inversion during implantation, valve rotation, and
continuous or interrupted suture methods are important in certain
techniques. The allograft aortic valve is a versatile device that can be
used in the surgical management of the full range of aortic valve and
aortic root pathology.
ARTICLES
Allograft aortic valve implantation: techniques for all types of aortic valve and root pathology
Department of Cardiac Surgery, Prince Charles Hospital, Brisbane, Australia.
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