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Ann Thorac Surg 2001;71:1053-1055
© 2001 The Society of Thoracic Surgeons

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Aortic root remodeling with the "cuff" technique for stentless valve implantation

^a Department of Thoracic and Cardiovascular Surgery, University Hospital, Caen, France

Accepted for publication August 17, 2000.

Address reprint requests to Dr Massetti, Department of Thoracic and Cardiovascular Surgery, C.H.U. "Cote de Nacre," 14033 Caen, France
e-mail: massetti-m{at}chu-caen.fr

Aortic root and sinotubular junction dilatation and aneurysm of ascending aorta are considered relative contraindications to implantation of a stentless valve prosthesis, because the modified aortic geometry leads to aortic incompetence and early failure of the prosthesis. Aortic root reconstruction can be performed according to various techniques. We present a surgical technique in which a tubular graft, replacing an ascending aortic aneurysm, allows sinotubular remodeling and satisfactory implantation of a stentless prosthesis. The native aorta is inserted into the vascular prosthesis at the level of the sinotubular junction which is wrapped in order to prevent commissure spreading. Sizing of the vascular and valve prosthesis is made according to annular diameter. Since October 1999, 6 patients have been operated using this technique with good results.

This article has been cited by other articles:

				R. P. Siebenmann, G. Babatasi, and A. Khayat Dilated aortic root and stentless valve implantation. Ann. Thorac. Surg., February 1, 2002; 73(2): 694 - 695. [Full Text] [PDF]

				M. Massetti, G. Babatasi, and A. Khayat Dilated aortic root and stentless valve implantation: Reply Ann. Thorac. Surg., February 1, 2002; 73(2): 694 - 695. [Full Text] [PDF]