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Ann Thorac Surg 2009;88:1026-1028. doi:10.1016/j.athoracsur.2008.10.074
© 2009 The Society of Thoracic Surgeons
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Amir M. Sheikh
Tirone E. David
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Right arrow Valve disease

How To Do It

Aortic Valve-Sparing Operations: Dealing With the Coronary Artery That is Too Close to the Aortic Annulus

Amir M. Sheikh, FRCS(CTh), MBBS*, Tirone E. David, MD

Peter Munk Cardiac Centre of Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada

Accepted for publication October 23, 2008.

* Address correspondence to Dr Sheikh, 114 Rowlands Ave, Pinner, Middlesex, HA5 4AP, United Kingdom (Email: amsheikh10{at}hotmail.com).

During aortic root surgery, one of the coronary ostia is sometimes found to lie too close to one of the commissures to allow its safe detachment as a button while still preserving the native aortic valve. In the past, this has prevented aortic valve-sparing root replacement in cases of aortic root aneurysm. We describe a technique pertaining to the reimplantation method of aortic valve-sparing root replacement to deal with such a displaced coronary artery.




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