Transaortic Valve-in-Valve Implantation After Previous Aortic Root Homograft Leo Ihlberg, MD, PhD, Antero Sahlman, MD, Juha Sinisalo, MD, Janne Rapola,

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Presentation transcript:

Transaortic Valve-in-Valve Implantation After Previous Aortic Root Homograft Leo Ihlberg, MD, PhD, Antero Sahlman, MD, Juha Sinisalo, MD, Janne Rapola, MD, PhD, Mika Laine, MD, PhD The Annals of Thoracic Surgery Volume 94, Issue 5, Pages 1718-1721 (November 2012) DOI: 10.1016/j.athoracsur.2012.03.111 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative 3-dimensional multidetector computed tomography (MDCT) angiographic reconstruction depicts a complete circumferential calcification of the aortic root homograft. The distal ascending aorta is relatively free of disease. The Annals of Thoracic Surgery 2012 94, 1718-1721DOI: (10.1016/j.athoracsur.2012.03.111) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 In the intraoperative angiogram before the valve deployment, the calcific landmarks on the valve are poorly visualized. The clamp on the top of the distal ascending aorta demonstrates the planned access point. The Annals of Thoracic Surgery 2012 94, 1718-1721DOI: (10.1016/j.athoracsur.2012.03.111) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The postoperative multidetector computed tomography (MDCT) angiogram demonstrates an optimal valve position in the aortic annulus. The left coronary ostium is not compromised. The Annals of Thoracic Surgery 2012 94, 1718-1721DOI: (10.1016/j.athoracsur.2012.03.111) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions