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AORTIC REGURGITATION WITH AND WITHOUT ASCENDING AORTIC
ANEURYSM: VALVE REPAIR TECHNIQUES
MARKO TURINA University Hospital
Zurich, Switzerland
Two dimensional echocardiogram.
Evangelista A Heart 2010;96:979-985
Copyright © BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.
Loss of commissural support due to dilatation of sino-tubular junction
Repair-oriented functional classification of aortic insufficiency with a description of disease mechanisms and repair techniques employed.
Boodhwani M et al. MMCTS 2009;2009:mmcts.2008.003806
© 2009 European Association for Cardio-thoracic Surgery
These diagrams demonstrate the static and basic functional anatomy of the aortic root valve complex.
Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897
© 2003 Elsevier B.V.
Tirone David I. the sequence demonstrates the surgical approach described initially by Tirone David in 1992, which is now known as the reimplantation technique (TD I).
Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897
© 2003 Elsevier B.V.
Sarsam and Yacoub 1993 technique of remodeling.
Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897
© 2003 Elsevier B.V.
1995 Tirone David II Remodeling.
Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897
© 2003 Elsevier B.V.
1996 Tirone David III Remodeling.
Hopkins R A Eur J Cardiothorac Surg 2003;24:886-897
© 2003 Elsevier B.V.
DANGEROUS TECHNIQUE, TO BE
AVOIDED
Cusp shortening with 7-0 PTFE suture
http://www.youtube.com/watch?v=JPH5nwnFgQk
http://www.youtube.com/watch?v=eudbXsxIppE&feature=related
http://mmcts.oxfordjournals.org/cgi/collection/aortic_valve_repair
http://mmcts.oxfordjournals.org/content/2009/0702/mmcts.2008.0
03806.full
Some instructive video clips and MMCTS contributions