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In this video, Dr. Vince Gaudiani demonstrates his technique for aortic valve replacement with a left internal mammary artery (LIMA) to left anterior descending artery (LAD) and an ascending aortic replacement.
The patient had a 48 mm ascending aorta and severe aortic stenosis with stenosis of the LAD.
Initially, the LIMA was anastomosed to a large LAD in a side-to-side fashion after a small Fogarty catheter was used to dilate the LIMA.
The aorta was transected, the valve was excised, and a bioprosthesis was placed, with the method for suture placement demonstrated.
The sutures were tied down with the Cor-Knot, and a Dacron graft was placed using an inverting continuous suture.
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