Document Detail

"Peninsula-style" transverse aortic arch replacement in patients with bicuspid aortic valve.
MedLine Citation:
PMID:  20868855     Owner:  NLM     Status:  MEDLINE    
Although the optimal surgical treatment of the dilated aortic arch is controversial in patients with a bicuspid aortic valve, such exists in more than 70% of bicuspid aortic valve patients. Aortic wall histologic abnormalities are present from the aortic root to the distal arch regardless of aortic size. We describe a simple "peninsula-style" technique of transverse arch replacement used in conjunction with valve-sparing aortic root replacement for patients with a bicuspid aortic valve. This provides resection of the entire dilated thoracic aorta, preserving the arch branches in continuity with the proximal descending aorta.
Akinobu Itoh; Michael Fischbein; Koji Arata; David Craig Miller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  90     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2010-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1369-71     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California 94305-5407, USA.
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MeSH Terms
Aorta, Thoracic / surgery*
Aortic Aneurysm / surgery*
Aortic Valve / abnormalities*
Blood Vessel Prosthesis Implantation / methods*
Heart Valve Diseases / surgery*
Heart Valve Prosthesis Implantation / methods*
Middle Aged

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