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Ann Thorac Surg 2003;75:1338-1339
© 2003 The Society of Thoracic Surgeons

How to do it

Composite aortic root replacement with a bovine pericardial valve conduit

Alan D. Hilgenberg, MD*a, Bassem N. Mora, MDa

a Cardiac Surgical Division, Massachusetts General Hospital, Boston, Massachusetts, USA

Accepted for publication September 16, 2002.

* Address reprint requests to Dr Hilgenberg, Warren 735, Massachusetts General Hospital, Boston, MA 02114, USA
e-mail: ahilgenberg{at}partners.org

In order to offer selected patients undergoing composite aortic root replacement the advantages of a tissue valve, we have constructed conduits intraoperatively by suturing a stented bovine pericardial valve (Edwards Lifesciences LLC, Irvine, CA) inside of a Dacron tube graft (Boston Scientific Corp, Natick, MA). The conduit is quickly made from readily available materials, is easily implanted, and can accommodate any of the anatomic situations encountered in repair of aortic root aneurysms. It is particularly suitable for patients 65 years of age and older.




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