Where is the ascending aorta
Replacement of the Ascending Aorta and Aortic Root Replacement Using Freestyle Porcine Bioprosthesis
we present a case of aortic valve using
a freestyle porcine bioprosthesis and
ascending a water replacement impatient
with giant aneurysm of the ascending
aorta 8 centimeters
66 year old female normal ejection
fraction no coronary disease severe
aortic valve insufficiency ascending
aorta diameter 8 centimeters
pre-operative Angel City scan right
axillary artery cannulation with
Salinger technique
percutaneous right femoral vein OHS
cannulation for cardiopulmonary bypass
median sternotomy
a Adak cross-clamp
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resection of the ascending aorta
resection of the aortic valve
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trim of the left and right Ostia of the
bioprosthesis
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it's Tantalus erotic bioprosthesis was
implanted using polypropylene
4/0 running suture for the inflow rim
begin the inflow rim searcher line at
the left coronary sinus
right coronary sinus
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and non coronary sinus
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test was performed with hook to check if
a or dick paravalvular leaks were
present the coronary Ostia are
reattached using a polypropylene 4/0
suture begin the left Ostia
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and right Ostia
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proximal anastomosis was performed of
the vascular prosthesis including both
the patient ascending aorta and porcine
a Orteig wall using polypropylene 4/0
running suture inclusion technique a
second continuous suture for enforcement
was performed using polypropylene 4/0
the distal anastomosis was performed
between the aorta and vascular
prosthesis using polypropylene 4/0
running suture
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the heart and vascular prosthesis Rd
aired and cross-clamp removed
this is the final result you can see the
post-operative echocardiography
