In this in-depth discussion, CTSNet Senior Editors Dr. Vince Gaudiani, Associate Professor of Cardiothoracic Surgery at Stanford University in Stanford, California, USA, and Dr. Sameh Said, Chief of the Division of Pediatric and Adult Congenital Cardiac Surgery at Maria Fareri Children’s Hospital in Valhalla, New York, USA, delve into the Konno procedure and left ventricular outflow tract (LVOT) enlargement.
They explore several key topics, including the use of small prostheses, the importance of avoiding patient-prosthesis mismatch, and strategies for selecting the appropriate valve size. The conversation also covers tissue valve replacement, systolic anterior motion, and the application of the Konno procedure in adult patients.
Additionally, they review case videos featuring both Dr. Gaudiani and Said, highlighting procedures such as the Manouguian procedure and the Konno procedure. They discuss the differences between various patches used in cardiac procedures, specifically in the context of the Nicks and Manouguian procedure, as well as the application of Dacron grafts. The discussion also addresses the mortality risk associated with the Konno procedure, offering valuable advice for surgeons performing the technique on adult patients. Finally, they underscore the importance of mastering multiple surgical techniques.
In this series, CTSNet brings together some of the most knowledgeable CT surgeons from around the world to engage in in-depth discussions about important topics in the field of cardiothoracic surgery. Watch for more insightful Master Class videos in the coming weeks.
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