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Updated: Jun 17, 2026

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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
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A novel bidirectional side exiting pledgetted suture for valve replacement surgery.
Junnan Zheng1, Henry Davies2, Yiming Ni1
1Department of cardiovascular surgery, the First Affiliated Hospital, Zhejiang University, Hangzhou, China.
Frontiers in Surgery
|August 12, 2022
Summary
A novel side exiting pledgetted suture improves valve replacement surgery by preventing suture intertwining and pledget flipping. This innovation offers cardiac surgeons a superior alternative for improved patient outcomes.
Area of Science:
- Cardiovascular Surgery
- Biomedical Engineering
- Surgical Innovation
Background:
- The pledgetted mattress suture is a standard technique in valve replacement surgery.
- Traditional pledgetted sutures present challenges such as suture intertwining and pledget flipping.
Purpose of the Study:
- To introduce a novel side exiting pledgetted suture designed to address the limitations of traditional methods.
- To provide cardiac surgeons with an improved suture alternative for valve replacement procedures.
Main Methods:
- Development and presentation of a novel side exiting pledgetted suture design.
- Evaluation of the novel suture's performance in overcoming defects of traditional techniques.
Main Results:
- The novel side exiting pledgetted suture effectively prevents suture intertwining.
- The design eliminates the issue of pledget flipping during surgical procedures.
Conclusions:
- The novel side exiting pledgetted suture represents a significant advancement in valve replacement surgery.
- This innovation offers a more reliable and effective option for cardiac surgeons, potentially improving surgical safety and efficacy.

