[HSF] Bicuspid aortic valve and dilated ascending aorta

[Zhandong Zhou]

Dr. Damle, could you explain Valsava graft?



----- Original Message ----- 
From: "Ajit Damle" <damle at cableone.net>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Tuesday, April 24, 2007 8:54 AM
Subject: RE: [HSF] Bicuspid aortic valve and dilated ascending aorta


I have had similar cases recently. I would recommend strongly replacing the
aortic root, if you can do it with low morbidity and mortality.

If you decide to re-implant the coronary ostia, I strongly recommend the
Valsalva graft.  I also liberally use a topical sealant, CoSeal. I have
gotten away in several cases without any blood/blood product transfusion.

Good l;uck!

Ajit Damle




-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Zhandong Zhou
Sent: Monday, April 23, 2007 5:22 PM
To: OpenHeart-L at lists.hsforum.com
Subject: [HSF] Bicuspid aortic valve and dilated ascending aorta

To Forum,

I have a 51 year old patient with bicuspid aortic valve, severe AR with 4.0 
cm root. choices between mini-invasive AVR (through 2nd intercostal space, 
2.5 inch incision) vs full sternotomy with Bentall. I personally prefer mini

AVR then see what happens in the future.

Any suggestions?

Z Zhou 

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