ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Redo Sternotomy Followed by a Left Ventricular Outflow Tract Enlargement Prior to Aortic Valve Replacement
Gaudiani V, Tsau P. Redo Sternotomy Followed by a Left Ventricular Outflow Tract Enlargement Prior to Aortic Valve Replacement. May 2025. doi:10.25373/ctsnet.29052260
This video shows an operation on a patient who had previously undergone a biological aortic valve replacement 10 years ago at the age of 40 who now needed a redo aortic valve replacement.
The video begins by demonstrating how to reopen the sternotomy and then how to dissect the heart so that the aorta could be cannulated. Although Dr. Vince Gaudiani often uses right femoral vein cannulation, direct atrial cannulation was performed in this case.
The aorta was opened, and the previous valve was cut out with a knife. An incision was made between the left and the non-coronary cusps. A Dacron patch was placed and sutured in position, then the valve sutures were placed, and the valve was inserted into this enlarged annulus. The patch was also used to close the 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.
Printer-friendly
