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Updated: Jun 20, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Aortic valve-sparing operations: dealing with the coronary artery that is too close to the aortic annulus

Amir M Sheikh1, Tirone E David

  • 1Peter Munk Cardiac Centre of Toronto General Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada. amsheikh10@hotmail.com

The Annals of Thoracic Surgery
|August 25, 2009
PubMed

Insights

A novel surgical technique addresses challenges in aortic valve-sparing root replacement. This method allows for safe aortic valve preservation even with displaced coronary arteries near commissures.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery Techniques
  • Aortic Root Surgery

Background:

  • Aortic valve-sparing root replacement (AVSRR) is a complex procedure.
  • Displaced coronary ostia near commissures can complicate AVSRR.
  • This anatomical variation has historically limited AVSRR in aortic root aneurysm cases.

Purpose of the Study:

  • To present a modified reimplantation technique for AVSRR.
  • To address the challenge of coronary ostia proximity to commissures.
  • To expand the applicability of valve-sparing aortic root surgery.

Main Methods:

  • Description of a specific surgical technique for AVSRR.
  • Focus on managing coronary ostia located near aortic valve commissures.
  • Adaptation of the reimplantation method for challenging anatomy.

Main Results:

  • The described technique facilitates safe detachment of coronary buttons.
  • Preservation of the native aortic valve is achievable.
  • Enables AVSRR in patients with previously prohibitive coronary artery displacement.

Conclusions:

  • This technique offers a solution for complex AVSRR cases.
  • It expands the patient cohort eligible for aortic valve-sparing procedures.
  • Improves surgical options for aortic root aneurysm with challenging coronary anatomy.

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