Proposed modification for valve-sparing aortic root replacement

Balakrishnan Mahesh, Claude Deville, Samer Nashef

Research output: Contribution to journalArticlepeer-review


Valve-sparing aortic root replacement (ARR) is the procedure of choice in young patients with aortic root aneurysm and preserved aortic valve leaflets; however, coronary ostial anastomoses remain an issue. Troublesome bleeding sometimes occurs during surgery, and in the long term, there is a risk of aneurysmal formation in the residual aortic wall of the ostial "button." We describe a technique of valve-sparing ARR wherein each coronary button along with its flange of aortic tissue is implanted within the prosthetic graft used for ARR, thereby eliminating the risk of both immediate surgical bleeding and late coronary button aneurysms.

Original languageEnglish (US)
Pages (from-to)1811-1813
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number5
StatePublished - May 2014

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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