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Aortic Valve Replacement With LIMA to LAD Artery and an Ascending Aortic Replacement
Gaudiani V, Tsau P. Aortic Valve Replacement With LIMA to LAD Artery and an Ascending Aortic Replacement. March 2025. doi:10.25373/ctsnet.28701101
In this video, Dr. Vince Gaudiani demonstrates his technique for aortic valve replacement with a left internal mammary artery (LIMA) to left anterior descending artery (LAD) and an ascending aortic replacement.
The patient had a 48 mm ascending aorta and severe aortic stenosis with stenosis of the LAD.
Initially, the LIMA was anastomosed to a large LAD in a side-to-side fashion after a small Fogarty catheter was used to dilate the LIMA.
The aorta was transected, the valve was excised, and a bioprosthesis was placed, with the method for suture placement demonstrated.
The sutures were tied down with the Cor-Knot, and a Dacron graft was placed using an inverting continuous suture.
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