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eComment: New vascular graft for simplification of the aortic valve reimplantation technique

Bakoulev Scientific Center for Cardiovascular Surgery, Roublevskoye Shosse 135, 121552 Moscow, Russia

New vascular graft for simplification of the aortic valve reimplantation technique

The Bakoulev Center for Cardiovascular Surgery annually performs about 100 operations for ascending aorta aneurysms and dissections. The whole experience exceeds 900 procedures for the replacement of the ascending aorta and its arch. Valve-sparing operations contribute a small part (46 procedures) in comparison to composite graft usage, and we began this type of surgery early in 2000. Seventeen of them were supracoronary aortic replacement, 6 – remodeling (M. Yacoub), 24 – reimplantation (T. David). In all cases we used woven Dacron grafts (Vascutek or Interguard). We obtained excellent results with reimplantation, and suboptimal results with remodeling. The last, in our opinion, is more skill-demanding.

Like the authors of this article [1], we met difficulties in the placement of the commissures into the crimped prosthetic wall. In addition, this can create more bleeding sites at open suture lines. Dr Urbanski's approach can enhance not only the reimplantation procedure, but also the remodeling procedure for aortic valve salvation in surgery for aneurysm of the ascending aorta.

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1. Urbanski PP, Frank S. New vascular graft for simplification of the aortic valve reimplantation technique. Interact CardioVasc Thorac Surg 2008;7:552–555.[Abstract/Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Leo A. Bockeria Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Bockeria, L. A. Articles by Muratov, R. M. Search for Related Content PubMed Articles by Bockeria, L. A. Articles by Muratov, R. M. Related Collections Related Article