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Ann Thorac Surg 2001;71:1380-1381
© 2001 The Society of Thoracic Surgeons

How to do it

Commissure holder: an innovative device for aortic valve-sparing technique

Hiroji Akimoto, MDa, Yusuke Tsuru, MDa, Hitoshi Yokoyama, MDa, Mitsuaki Sadahiro, MDa, Koichi Tabayashi, MDa

a Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan

Accepted for publication September 6, 2000.

Address reprint requests to Dr Akimoto, Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan
e-mail: akimoto{at}mail.cc.tohoku.ac.jp

The key to obtaining maximal valve coaptation from the aortic valve-sparing procedure is in appreciating the optimal geometry of each component of the aortic root. We describe a new device called the Commissure Holder (patent pending) that aids in the selection of an appropriate graft size and in the determination of the optimal position at which each commissure should be sutured to the graft.






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Copyright © 2001 by The Society of Thoracic Surgeons.