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Updated: Jan 27, 2026
12:17
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
11.8K
How to Control Subannular Hemorrhage during Aortic Root Enlarging Procedures
Abdallah K Alameddine1, Brian Binnall1, Frederick T Conlin2
1Division of Cardiac Surgery, Baystate Medical Center, Springfield, Massachusetts.
Aorta (Stamford, Conn.)
|April 2, 2019
Summary
A novel suture technique effectively manages bleeding after aortic root enlargement in patients with aortic stenosis. This method avoids prosthesis replacement or patch revision, preventing further interventions.
Area of Science:
- Cardiovascular Surgery
- Cardiac Anesthesia
- Thoracic Surgery
Background:
- Aortic stenosis is a common valvular heart disease.
- Aortic root enlargement and patch reconstruction are procedures for aortic stenosis.
- Persistent bleeding at the aortoventricular curtain is a complication.
Purpose of the Study:
- To describe an effective suture technique for managing subannular bleeding.
- To address bleeding in patients with aortic stenosis and small annulus undergoing aortic root procedures.
Main Methods:
- A specific suture technique was developed and applied.
- The technique approximates the left atrial roof to the aortic root.
- This was performed in four patients with aortic stenosis.
Main Results:
- The described suture technique effectively controlled persistent subannular bleeding.
- No re-replacement of the aortic prosthesis was necessary.
- No revision of the patch was required.
Conclusions:
- This suture technique offers a solution for aortoventricular curtain bleeding.
- It is an effective alternative to reoperation in specific cases.
- It avoids further interventions related to the aortic root, valve, or aorta.
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