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Early Outcomes Using the Florida Sleeve Repair for Correction of Aortic Insufficiency due to Root Aneurysms  Philip J. Hess, MD, P. Kent Harman, MD, Charles.

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Presentation on theme: "Early Outcomes Using the Florida Sleeve Repair for Correction of Aortic Insufficiency due to Root Aneurysms  Philip J. Hess, MD, P. Kent Harman, MD, Charles."— Presentation transcript:

1 Early Outcomes Using the Florida Sleeve Repair for Correction of Aortic Insufficiency due to Root Aneurysms  Philip J. Hess, MD, P. Kent Harman, MD, Charles T. Klodell, MD, Thomas M. Beaver, MD, MPH, Marco T. Bologna, MD, Peter Mikhail, MD, Curtis G. Tribble, MD, Tomas D. Martin, MD  The Annals of Thoracic Surgery  Volume 87, Issue 4, Pages (April 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The 4 subannular anchoring sutures are placed in the same horizontal plane, 2 to 3 mm below the lowest point of the center of the leaflets; 3 are in line with the commissures, and a fourth is placed under the noncoronary cusp. The left coronary artery keyhole is cut after the sleeve is temporarily seated. The slits in the graft below the coronary keyholes are repaired after the sleeve is seated. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The running horizontal mattress suture both suspends the aorta and orients the posts of the commissures. Redundant aortic wall at the sinotubular junction should be imbricated with small pleats using multiple, closely spaced bites of the running anastomotic suture. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Finished repair. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Echocardiographic data points (mean and standard deviation) for left ventricular end-diastolic diameter (LVEDD, black line), left ventricular end-systolic diameter (LVESD, gray line), and aortic insufficiency (AI, dashed line: preoperatively, 1 week postoperatively, and 1, 2, and 3 years after repair). (‡LVEDD: preoperatively to 1 week [p = 0.05] and 1 week to 1 year [p = 0.008]. †LVESD: preoperatively to 1 week [p = 0.002] and 1 week to 1 year [p ω 0.001]. δAI: preoperatively to 1 week [p ω 0.001], and 1 year to 2 years [p = 0.03]. One week to 3 years [p = 0.594].) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Distribution of sleeve graft sizes in the study and cohort groups. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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