In this case study, the authors demonstrate the "Y" incision and rectangular patch technique to enlarge the aortic annulus by four valve sizes and implant a size 27 Top Hat mechanical valve, as well as discuss tips and pitfalls.
ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Aortic valve disease
May 2, 2022
A forty-two-year-old patient on hemodialysis required a redo Commando operation for recurrent infectious endocarditis. This video shows the steps the surgeon took to complete the operation.
April 9, 2022
This study from the Canadian Ross Registry evaluated 466 consecutive patients who underwent a Ross procedure using a decellularized cryopreserved pulmonary homograft and evaluated for pulmonary homograft dysfunction.
April 5, 2022
A brief but comprehensive editorial on nuances of the links between atrial fibrillation and heart failure, apropos a trial we have commented recently on, by the Johns Hopkins team that develops the calmodulin-dependent protein kinase II inhibitor molecules
March 17, 2022
This interesting video demonstrates a redo David I procedure for a thirty-year-old woman diagnosed with aortic insufficiency with bicuspid aortic valve. This case has the added layer of the patient also having had a PTA repair and reconstruction of right ventricular outflow track with a homograft when she was six.
February 24, 2022
Interesting study of hypertrophied human cardiomyocytes
January 4, 2022
Proximal aortic dissection with root involvement and aortic insufficiency can be difficult to repair; in this video, the history of reparative approaches and a potentially improved technique involving aortic ring annuloplasty are presented.
December 20, 2021
We provide an expert technique video demonstrating BAV repair and aortic root replacement (re-implantation) in a patient with a dilated root aneurysm and bicuspid aortic valve with mild aortic valve regurgitation.
December 16, 2021
In this video, we present a 19-years-old patient with a history of 21 mm mechanical mitral valve replacement and aortic valve commissurotomy at the age of three who underwent mitral valve re-replacement by using the top-hat technique, aortic valve replacement, and aortoplasty.
December 7, 2021
This is an original, narrated video demonstrating reconstruction of the aorto-mitral curtain with multiple bovine pericardial patches in a case of invasive aortic root endocarditis.