Work

The cardinal technique for symmetric reorientation during bicuspid aortic valve-sparing root replacement

Year: 2025

Type: article

Abstract: Valve-sparing aortic root replacement (VSARR) with reimplantation is an adaptable technique for repair of aortic root aneurysms and regurgitant aortic valves. Reimplantation of trileaflet aortic valves is predicated on maintenance of inherent symmetric sinus orientation (120°/120°/120°) to optimize leaflet coaptation.1 With respect to subannular sutures, varying technical reports describe symmetric, triangulated configurations, including beneath each leaflet nadir only (3 sutures),2 beneath both commissures and nadirs (6 sutures),3 and beneath commissures plus 3 evenly spaced sutures in each sinus (12 sutures).

Source: JTCVS Techniques

DOI: 10.1016/j.xjtc.2025.10.011

Authors: Albert J. Pedroza, Alexander K. Reed, Y. Joseph Woo

Institutions: Stanford Medicine, Stanford University

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,553