Aortic Valve Replacement and Ascending Aortic Replacement in an 85-Year-Old Patient

In this video, Dr. Vince Gaudiani demonstrates his technique for performing aortic valve replacement with ascending aortic replacement in an 85-year-old patient.  The key consideration for this patient was to minimize bypass time; thus, opting for an aortic valve replacement followed by ascending aortic replacement rather than a root replacement was crucial.  

The procedure was performed via a sternotomy rather than hemi-sternotomy, utilizing both retrograde and antegrade cardioplegia.   

The ascending aorta was excised, and a large greater curve aneurysm was shown.  A 34 mm graft was selected for the repair.   

During the procedure, it was discovered that the retrograde cannula had been pushed through the back of the coronary sinus, necessitating a repair, which is demonstrated in the video.  

The valve was then resected, and a 23 mm Inspiris valve was sutured into place using both pledgeted and nonpledgeted sutures.  A few sutures were taken from outside the aortic wall.   

The video concludes with the demonstration of the proximal and distal anastomoses for the Dacron tube graft to the ascending aorta.  

Disclaimer

The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.