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Ann Thorac Surg 2000;70:17-20
© 2000 The Society of Thoracic Surgeons
a Herz- und Gefäß-Klinik, Bad Neustadt, Germany
Address reprint requests to Dr Urbanski, Herz- und Gefäß-Klinik, Salzburger Leite 1, 97616 Bad Neustadt, Germany
e-mail: urbanski{at}kardiochirurg.de
Background. Replacement of the aortic valve and the ascending aorta with a conduit consisting of a mechanical valve and a Dacron tube has become a fairly common procedure. Commercially available conduits employing xenografts are rarely used for the same purpose, because if a reoperation becomes necessary due to degeneration of the valve prosthesis, usually the entire conduit must be replaced. A composite graft with a stentless valve, such as we describe in this article, avoids this problem, because in case of reoperation only the valve cusps need to be resected and the tube graft may be left in place.
Methods. Surgical technique of replacement of the aortic valve and the ascending aorta with a stentless composite graft and early results of the procedure are presented.
Results. Hemodynamics of the graft soon after surgery were excellent, with an average systolic gradient of 8 mm Hg and no regurgitation across the valve. There were two reoperations for bleeding in the early postoperative period.
Conclusions. The stentless composite graft we describe provides excellent hemodynamics, has no need for anticoagulation, and is expected to offer a benefit in case of reoperation.
This article has been cited by other articles:
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  G. Gatti, B. Benussi, A. Pappalardo, and B. Zingone Reply to Urbanski and Diegeler Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 927 - 927. [Full Text] [PDF]
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P. P. Urbanski and A. Diegeler Modified Bentall operation Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 926 - 927. [Full Text] [PDF]
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 P. P. Urbanski New Vascular Graft for Assembling the Stentless Valve Composite Graft Ann. Thorac. Surg., November 1, 2007; 84(5): 1771 - 1773. [Abstract] [Full Text] [PDF]
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P. P. Urbanski, A. Diegeler, A. Siebel, M. Zacher, and R. W. Hacker Valved stentless composite graft: clinical outcomes and hemodynamic characteristics Ann. Thorac. Surg., February 1, 2003; 75(2): 467 - 471. [Abstract] [Full Text] [PDF]
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K. Kirali, D. Mansuroglu, S. N. Omeroglu, V. Erentug, I. Mataraci, G. Ipek, E. Alcinci, O. Isik, and C. Yakut Five-year experience in aortic root replacement with the flanged composite graft Ann. Thorac. Surg., April 1, 2002; 73(4): 1130 - 1137. [Abstract] [Full Text] [PDF]
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P. P. Urbanski Complete aortic root replacement in patients with small aortic annulus Ann. Thorac. Surg., March 1, 2002; 73(3): 725 - 728. [Abstract] [Full Text] [PDF]
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P. P. Urbanski Valved stentless composite graft Ann. Thorac. Surg., February 1, 2002; 73(2): 695 - 696. [Full Text] [PDF]
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P. P. Urbanski Valved stentless composite graft Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1275 - 1276. [Full Text] [PDF]
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J. G. Byrne, T. Mihaljevic, and S. F. Aranki Reply to Urbanski Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1277 - 1277. [Full Text] [PDF]
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J. G. Byrne, T. Mihaljevic, W. E. Lipson, B. Smith, J. A. Fox, and S. F. Aranki Composite stentless valve with graft extension for combined replacement of the aortic valve, root and ascending aorta Eur. J. Cardiothorac. Surg., August 1, 2001; 20(2): 252 - 256. [Abstract] [Full Text] [PDF]
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