Related Experiment Video
Updated: Jun 20, 2025
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Redo aortic root and arch replacement with 3 different homografts
Andrey Protopopov1, Alexey Limansky1, Dmitry Khvan1
1Center for Surgery of the Aorta, Coronary and Peripheral Arteries, Meshalkin National Medical Research Center Ministry of Health of Russian Federation, Novosibirsk, Russian Federation.
Abstract:
A 74-year-old male entered the hospital with a medical history of an aortic arch and a descending thoracic aneurysm. To prevent arm ischaemia after the frozen elephant trunk procedure, a left subclavian artery to left common carotid artery anastomosis was performed. The postoperative period was complicated by sepsissternal infection and mediastinitis. We decided to perform a combined total aortic root and aortic arch replacement with 3 cryopreserved homografts. In addition, the "reverse arch technique" was applied to adapt the distal anastomosis. The operation is associated with a high risk of mortality in the postoperative period.
