Olivier M. Bical, MD, Ovidiu Nutu, MD, Philippe Deleuze, MD

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Presentation transcript:

A Technique of Aortic Annulus Enlargement With a Freestyle Stentless Bioprosthesis Olivier M. Bical, MD, Ovidiu Nutu, MD, Philippe Deleuze, MD The Annals of Thoracic Surgery Volume 93, Issue 2, Pages 680-681 (February 2012) DOI: 10.1016/j.athoracsur.2011.08.046 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Inflow sutures of the Freestyle bioprosthesis (Medtronic, Minneapolis, MN). Interrupted sutures were placed around the aortic annulus and 3 U-sutures with pledgets were placed on the enlarged part of the annulus from outside through the interventricular fibrous trigone. The Annals of Thoracic Surgery 2012 93, 680-681DOI: (10.1016/j.athoracsur.2011.08.046) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Upper suture of the Freestyle bioprosthesis (Medtronic, Minneapolis, MN). After excision of the porcine coronary segments (or use of a prepared MS Freestyle), the bioprosthesis was fixed by a continuous suture under the 2 coronary ostiums of the patient. The Annals of Thoracic Surgery 2012 93, 680-681DOI: (10.1016/j.athoracsur.2011.08.046) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Closure of the aorta. The aorta was closed by the suture of the mural wall of the Freestyle (Medtronic, Minneapolis, MN) bioprosthesis, without adjunction of a patch. The Annals of Thoracic Surgery 2012 93, 680-681DOI: (10.1016/j.athoracsur.2011.08.046) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions