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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 on theme: "Transaortic Valve-in-Valve Implantation After Previous Aortic Root Homograft  Leo Ihlberg, MD, PhD, Antero Sahlman, MD, Juha Sinisalo, MD, Janne Rapola,"— Presentation transcript:

1 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 (November 2012) DOI: /j.athoracsur Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

3 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  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

4 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  , DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

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