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Ingo Breitenbach, MD, Gerhard Wimmer-Greinecker, MD, Leo A

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Presentation on theme: "Ingo Breitenbach, MD, Gerhard Wimmer-Greinecker, MD, Leo A"— Presentation transcript:

1 Sutureless aortic valve replacement with the Trilogy Aortic Valve System: Multicenter experience 
Ingo Breitenbach, MD, Gerhard Wimmer-Greinecker, MD, Leo A. Bockeria, MD, Jerzy Sadowski, MD, Christoph Schmitz, MD, Boguslaw Kapelak, MD, Krzysztof Bartus, MD, Ravil Muratov, MD, Wolfgang Harringer, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 140, Issue 4, Pages e1 (October 2010) DOI: /j.jtcvs Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 A, Survey of the Trilogy Aortic Valve System (Arbor Surgical Technologies, Irvine, Calif). After affixing the SecuRing (1) with the TACs (2) to the aortic annulus, the valve crown (3) is locked to the SecuRing using a guiding and locking mechanism (4). B, SecuRing (1) mounted onto the TSIT (2) after folding by closing the TSIT handle. C, TAC tool (1) and TACs in their unstressed parent shape (2). When loaded into the tool, TACs are U-shaped (3) for insertion into annular tissue. After release, the clip legs cross over in the parent shape, capturing the tissue and cloth (4). D, TCAT (1) with the inserted rails (2) from the SecuRing guided through the valve crown and affixed on the receptacles of the TCAT (3). The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 New York Heart Association class improvement over the follow-up period. NYHA, New York Heart Association. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 A, Original SecuRing. B, Redesigned SecuRing with the additional collar (1) to seal the SecuRing to the valve crown and prevent intravalvular regurgitation. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

5 Anatomic position of the Trilogy Aortic Valve System showing the high supra-annular position of the valve crown within the aortic root. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

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