Reconstruction of dilated aortic annulus using short tubular Dacron graft for aortic root replacement by aortic homograft--a solution for size mismatch

H Kasegawa; Y Takahashi; M Kawase; E Mannouji; T Ida; A Nabuchi

Reconstruction of dilated aortic annulus using short tubular Dacron graft for aortic root replacement by aortic homograft--a solution for size mismatch

J Heart Valve Dis. 1996 Mar;5(2):178-80.

Authors

H Kasegawa¹, Y Takahashi, M Kawase, E Mannouji, T Ida, A Nabuchi

Affiliation

¹ Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.

PMID: 8665012

Abstract

To circumvent the problems associated with a dilated aortic annulus we first reduced the diameter of the annulus with a short section of Dacron graft and then implanted a smaller size homograft within the graft. This procedure was successfully performed for complete homograft aortic root replacement in a 25-year-old man with severe aortic insufficiency due to a dilated aortic annulus. The indication for homograft replacement can thus be widened, even to patients with a dilated aortic annulus.

Publication types

Case Reports

MeSH terms

Adult
Aorta / surgery*
Aortic Valve / transplantation*
Aortic Valve Insufficiency / surgery*
Blood Vessel Prosthesis*
Coronary Angiography
Humans
Male
Suture Techniques
Transplantation, Homologous
Treatment Outcome