Reoperation Technique for Double Patch Double Valve: An Exploration With Leonard Lee 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. Leonard Lee, Professor and Chair of the Department of Surgery at Rutgers University Robert Wood Johnson Medical School, examine Dr. Gaudiani’s reoperation technique for a double patch double valve procedure, showcasing a real-life case during their discussion. They delve into various critical aspects, including the excision of the prosthetic valve, the aortic annulus approach and its potential pitfalls, patch sizing, and the technique of cutting the aortic leaflet prior to removing the ring. The conversation also addresses the left atrium approach, incomplete sutures, the mitral prosthesis, suturing anchors, and the conversion from a standard double valve to a double patch operation. Additionally, they discuss performing a Manouguian procedure in a patient who has previously undergone a mitral valve replacement. 

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