Introduction to Aortic Root Reconstruction

Dr. Vince Gaudiani introduces his series on different techniques for aortic root reconstruction.

The patient is a sixty-year-old man who presented with collapse and was found to have a 7 cm dilated aortic aneurysm with severe aortic regurgitation. Femoral vein cannulation was performed, followed by aortic cannulation and retrograde cardioplegia. 

The author describes his logic for deciding between a valve sparing root replacement or a prosthetic Valsalva biological graft implantation for this patient. He chose an Edwards Connect conduit, which contains a biological valve in a sinus of Valsalva graft. 

The technique for aortic root replacement is demonstrated, including harvesting of the right and left coronary buttons, excision of the valve, and implantation of the prosthesis.

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