Key result
Minimally invasive aortic valve reimplantation achieves annular stability using novel Valsalva graft sizing and sutures.
This video article details the surgical technique for minimally invasive David reimplantation of bicuspid aortic valves to achieve long-term stability.
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May support ministernotomy reimplantation in select cases; leaves open durability and comparative efficacy.
In this video article, we present the technical details of the minimally invasive aortic valve reimplantation operation through a partial upper “J” ministernotomy using novel sizing of the Valsalva graft. Stability of the aortic annulus is achieved with the use of a purse string suture at the bottom of the Valsalva prosthesis. The key factors crucial for achieving long-term stability of aortic valve reimplantation include symmetrical heights of both commissures in 180° orientation, coaptation above the annulus, and adequate length of coaptation.
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Benedı́k et al. (2015) studied Bicuspid aortic valve. Minimally invasive David reimplantation was evaluated. Minimally invasive aortic valve reimplantation through a partial upper 'J' ministernotomy utilizes novel sizing of the Valsalva graft and a purse string suture to achieve annular stability.
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