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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Automated coring and apical connector insertion device for aortic valve bypass surgery
Corey Adams1, Linrui Ray Guo, Philip M Jones
1Division of Cardiac Surgery, Department of Surgery, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada.
The Annals of Thoracic Surgery
|December 22, 2011
Summary
A novel automated device simplifies aortic valve bypass surgery by creating a secure left ventricular apical anastomosis. This innovation enhances the feasibility of this procedure for treating aortic stenosis.
Area of Science:
- Cardiovascular Surgery
- Medical Device Technology
- Aortic Stenosis Treatment
Background:
- Aortic valve bypass surgery offers a potential treatment for aortic stenosis.
- The technical complexity of left ventricular apical anastomosis has hindered its widespread adoption.
- Existing methods for apical anastomosis are challenging and time-consuming.
Observation:
- A case study involving a 74-year-old male with severe aortic stenosis and complex surgical history is presented.
- A left anterolateral thoracotomy approach was utilized.
- An automated coring and apical connector device was employed for left ventricular apex preparation and anastomosis.
Findings:
- The procedure was performed without complications, utilizing cardiopulmonary bypass.
- Estimated blood loss was minimal, and the patient was discharged on postoperative day 5.
- Three-month follow-up revealed significant clinical and hemodynamic improvements.
Implications:
- The automated device facilitates a safe and effective aortic valve bypass.
- This technology may increase the adoption of aortic valve bypass surgery.
- Improved surgical techniques can enhance outcomes for patients with aortic stenosis.

