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June 9, 2014
A step-by-step guide for performing an aortic root replacement with the Freestyle Aortic Root. Safeguards and pitfalls are reviewed.
April 1, 2014
This video shows a teenager with a large neo-aortic root aneurysm and severe aortic valve regurgitation following a Ross procedure, which was treated with a valve-sparing aortic root replacement. The case also highlights the intra-operative management of inadvertent aortic injury during reentry in the setting of severe aortic regurgitation.
February 14, 2014
The operating surgeons report an elderly female patient with a 7 cm ascending aorta aneurysm. The operating surgeons used a simple Dacron sleeve technique that avoided circulatory arrest and shortened the cross clamp and cardiopulmonary support time. Moreover, the single aortic suture line decreased the haemostasis problem.
November 14, 2013
This video shows a 53-year-old male patient with severe COPD. His computed angiography showed a Crawford Type I thoracoabdominal aneurysm. His right kidney was atrophic, and the aneurysm was extending just proximal to the left renal artery.
October 3, 2013
Mini-sternotomy is being increasingly adopted for surgery of the aortic valve and ascending aorta. This adds greater complexity when compared to a standard median sternotomy approach. This video describes technical modifications that allow the surgeon to overcome these challenges in a case requiring deep hypothermic circulatory arrest (DHCA), aortic valve, and hemiarch repair.
September 20, 2013
Hybrid aortic procedures have the potential to reduce morbidity and mortality in patients that may not be reasonable candidates for a traditional open operation. This article examines a hybrid procedure performed on a 60-year-old male who had received four previous open-heart operations and who had numerous co-morbidities.
March 21, 2013
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that is one of the most common causes of myocardial ischemia and infarction in children. If untreated, it results in a mortality rate of up to 90% within the first year of life. In the current era, establishment of a two coronary artery system is considered the goal for repair of ALCAPA.
Dacron Sleeve Around Ascending Aorta Without Excising the Aortic Tissues for Patients with Dilated Ascending Aorta Undergoing Aortic Valve Surgery
October 14, 2012
A Dacron sleeve around the dilated ascending aorta is a simple technique that allows the ascending aorta to adopt the shape of the Dacron tube graft which avoids wrinkle formation, dislocation and erosion.
July 11, 2012
The Ross procedure is a valuable alternative for the surgical treatment of aortic valve disease in adolescent and young adult. However, neo-aortic root dilatation resulting in valve regurgitation is not uncommon. This video demonstrates the authors' technical modification that prevents this complication.
March 12, 2012