HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Yutaka Kotsuka Shinichi Takamoto Akira Furuse Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kotsuka, Y. Articles by Furuse, A. Search for Related Content PubMed PubMed Citation Articles by Kotsuka, Y. Articles by Furuse, A.

Ann Thorac Surg 1999;67:89-92
© 1999 The Society of Thoracic Surgeons

---

Original Articles

Intravalvular implantation technique for aortic valve replacement in aortitis syndrome

^a Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan
^b JR Tokyo General Hospital, Tokyo, Japan

Accepted for publication June 18, 1998.

Address reprint requests to Dr Kotsuka, Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

Background. Paravalvular leakage is one of the most serious complications of aortic valve replacement in patients with aortitis syndrome. The purpose of this study was to compare the effectiveness of the intravalvular implantation technique in preventing paravalvular leakage with that of the conventional technique.

Methods. Since 1982, 14 patients with aortic regurgitation caused by aortitis syndrome have undergone aortic valve replacement at our institute. An intravalvular implantation technique was applied in 7 of the 14 patients. The technique consists of suturing a prosthetic valve to the aortic annulus and sandwiching the leaflets between exogenous felt pledgets and the inflamed aortic annulus.

Results. Paravalvular leakage occurred in 3 of 7 patients in the conventionally treated group and in none of 7 in the intravalvular implantation group.

Conclusions. The intravalvular implantation technique is effective in preventing paravalvular leakage in patients with aortitis syndrome.

This article has been cited by other articles:

				D. S. Jeong, K.-H. Kim, J. S. Kim, and H. Ahn Long-Term Experience of Surgical Treatment for Aortic Regurgitation Attributable to Behcet's Disease. Ann. Thorac. Surg., June 1, 2009; 87(6): 1775 - 1782. [Abstract] [Full Text] [PDF]

				D. Pacini, O. Leone, S. Turci, N. Camurri, F. Giunchi, G. N. Martinelli, and R. Di Bartolomeo Incidence, Etiology, Histologic Findings, and Course of Thoracic Inflammatory Aortopathies Ann. Thorac. Surg., November 1, 2008; 86(5): 1518 - 1523. [Abstract] [Full Text] [PDF]