Early Results of Modified Aortic-Valve Sparing Partial Root Replacement in Acute Type A Aortic Dissection with an Intimal Tear in the Aortic Sinuses

摘要

We describe a modified aortic valve-sparing partial root replacement (AVSPRR) technique for acute type A aortic dissection with an intimal tear (IT) in the aortic sinus. This procedure consists of selective replacement of the sinus containing an IT with a rectangular patch. If an IT exists in any coronary sinus, the coronary button was reimplanted to the neo-sinus and an external wrapping of the noncoronary sinus was added. Modified AVSPRR may be considered a feasible short-term outcome, and may be considered as an option in selected patients. doi: 10.1111/jocs.12524 (J Card Surg 2015;30:448-451)