Double Patch Technique for Aortic & Mitral Valve Replacement: An Exploration With John MacArthur and Vince Gaudiani

In this series, CTSNet invites top cardiothoracic surgeons from around the world to engage in in-depth discussions about important topics in the field of CT surgery by examining specific cases in detail. Watch for more insightful expert discussion videos in the coming weeks.  

In this in-depth discussion, CTSNet Senior Editor Dr. Vince Gaudiani and Dr. John W. MacArthur, cardiac surgeon and Assistant Professor of Cardiothoracic Surgery (Adult Cardiac Surgery) at Stanford Medicine, examine Dr. Gaudiani’s video “Safe Cerebral Protection: Double Patch Technique for Aortic and Mitral Valve Replacement.” They explore critical aspects of the procedure and present the real-life case study throughout the discussion.  Key topics include the importance of brain protection, various techniques employed, suturing strategies for aortic and mitral valves, and the resection of calcified tissue. They also delve into essential stitches to prevent leaks, the need for adequate exposure to visualize all structures clearly, groove disruptions, the use of flexible cuffs, and the transition from the aorta to the patch. 

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