[HSF] Bicuspid aortic valve and dilated ascending aorta

[tjsloan at inreach.com]

The company Vascutek makes a graft called Gelweave Valsalve graft - follow
the hyperlink   http://www.vascutek.com/usa/index1.htm

I have used the graft on a few occasions and it appears to sew well and
the principal sounds good.  The cost of the graft is slightly more than
the usual Hemashield graft, and it sews well.

Importantly they do make arch grafts that don't leak.

Tim Sloan


 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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