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. 2024 Jan 12:24:128-131.
doi: 10.1016/j.xjtc.2024.01.002. eCollection 2024 Apr.

The 2F technique: A novel approach in the Ross procedure

Fadi Farhat  1 , Jean Pierre Berne  1 , Camille Diab  1 , Joel Lapeze  1 , Thomas Sassard  1
Affiliations

The 2F technique: A novel approach in the Ross procedure

Fadi Farhat et al. JTCVS Tech. .
No abstract available

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Conflict of interest statement

The authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling or reviewing manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest.

Figures

None
The 2F inclusion Ross technique.
Figure 1
Figure 1
View from the proximal side of the autograft. The muscle and the excess fat are trimmed to leave about 3 mm of remaining tissue.
Figure 2
Figure 2
The pulmonary artery wall is resected, leaving 3 mm of remnants after the leaflets, same as what performed in a David approach (left), then the coaptation of the 3 leaflets is checked (right).
Figure 3
Figure 3
The muscle below the leaflets is attached to the inclusion Dacron tube using three 5/0 polypropylene running suture after a careful assessment of the annulus geometry.
Figure 4
Figure 4
Surgical view of the 2F inclusion technique before and after implantation on the aortic annulus. Note that the commissures are fare below the distal end of the Dacron tube without any difficulty to attach with Teflon felt U-stitches.
See this image and copyright information in PMC

References

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    1. Shrestha M., Boethig D., Krüger H., et al. Valve-sparing aortic root replacement using a straight tube graft (David I procedure) J Thorac Cardiovasc Surg. 2022;166:1387–1397.e10. - PubMed

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