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Case Reports
. 2014 Nov;98(5):1858-9.
doi: 10.1016/j.athoracsur.2014.03.058. Epub 2014 Oct 30.

Valve-sparing aortic root replacement in the presence of coronary anomalies

Domenico Mazzitelli  1 , Christian Nöbauer  1 , J Scott Rankin  2 , Christian Schreiber  1 , Rüdiger Lange  1
Affiliations
Case Reports

Valve-sparing aortic root replacement in the presence of coronary anomalies

Domenico Mazzitelli et al. Ann Thorac Surg. 2014 Nov.

Abstract

Aortic root replacement in the presence of coronary anomalies can be challenging. Because the anomalous coronary often arises close to a commissure, reconstruction with traditional buttons can be technically difficult without compromising either the leaflets or the coronary artery. A method of valve sparing root surgery termed "aortic valve and root restoration," using aortic ring annuloplasty and formal valve repair, and then incorporating the anomalous coronary into the commissural suture line, may offer a simple solution to this problem.

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