Novel technique of valve-sparing aortic root replacement in two children younger than 3 years of age.

Kirklin, James K; Johnson, Walter H; Cook, Barton B; Law, Mark A; McMahon, William S; Romp, Robb L; Colvin, Edward V · Ann Thorac Surg · 2012

case_series · Level IV

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Abstract

A novel technique of valve-sparing aortic root replacement was applied to 2 children younger than 3 years of age with Marfan syndrome and large aortic root aneurysms. Using elements of both the remodeling and reimplantation techniques, circumferential rings from a 20-mm to 22-mm polyester graft provide stabilization at the subannular and sinotubular levels, and bovine pericardial patches create pseudosinuses. Follow-up at 2 years in 1 patient and 7 months in a second patient revealed satisfactory valve function with stable aortic root size.

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