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CC BY 4.0 · Aorta (Stamford) 2018; 06(05): 120-123
DOI: 10.1055/s-0039-1683387
How I Do It
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

How to Control Subannular Hemorrhage during Aortic Root Enlarging Procedures

Abdallah K. Alameddine
1   Division of Cardiac Surgery, Baystate Medical Center, Springfield, Massachusetts
,
Brian Binnall
1   Division of Cardiac Surgery, Baystate Medical Center, Springfield, Massachusetts
,
Frederick T. Conlin
2   Division of Anesthesiology, Baystate Medical Center, Springfield, Massachusetts
,
Khaled O. Alameddine
3   Department of Internal Medicine, Swedish Covenant Hospital, Chicago, Illinois
› Author Affiliations Funding None.
Further Information

Publication History

12 September 2017

05 November 2018

Publication Date:
01 April 2019 (online)

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Abstract

We describe an effective suture technique to control the persistent subannular bleeding at the aortoventricular curtain in four patients with aortic stenosis and small annulus who underwent aortic root enlargement and patch reconstruction. This technique approximates the left atrial roof to the aortic root without the need for re-replacement of the aortic prosthesis or revision of the patch. Reintervention for aortic root, valve, or the residual aorta was not required.

Keywords

aortic stenosis - small aortic root - destroyed aortic annulus - subannular patch bleeding - aortoventricular rupture
 

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