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Updated: Sep 14, 2025
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Sutureless aortic valve replacement with patent vein grafts post coronary artery bypass grafting
Hari Govind Varma1, Azhar Sayyed1, Dhiraj Barman1
1Department of Cardiac Surgery, NH Rabindranath Tagore International Institute of Cardiac Sciences, 124, EM Bypass, Mukundapur, Kolkata, 700099 India.
Insights
Sutureless aortic valve implantation is a feasible option for patients with prior coronary artery bypass grafting (CABG). This procedure showed excellent results in a patient with patent grafts, including the left internal thoracic artery (LITA).
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Medical Imaging
Background:
- Aortic stenosis (AS) is a common valvular heart disease, often requiring intervention.
- Coronary artery bypass grafting (CABG) is a frequent surgical procedure, and patients may later develop AS.
- Assessing graft patency before aortic valve replacement is crucial.
Observation:
- A 73-year-old male with a history of CABG presented with moderate to severe AS.
- Computed tomography (CT) angiogram confirmed the patency of his coronary grafts, including the left internal thoracic artery (LITA) and saphenous vein grafts.
- CT imaging was utilized to evaluate suitability for sutureless aortic valve implantation.
Findings:
- The patient successfully underwent sutureless aortic valve implantation.
- Postoperative recovery was uneventful, with discharge on the 5th day.
- The procedure yielded excellent results in this specific patient profile.
Implications:
- Sutureless aortic valve implantation is feasible in patients with patent LITA and saphenous vein grafts after CABG.
- This approach offers a potentially effective treatment option for AS in this complex patient cohort.
- Further studies may explore the long-term outcomes and broader applicability of this technique.
Abstract:
A 73-year-old gentleman who had previously undergone a coronary artery bypass grafting (CABG) presented with moderate to severe aortic stenosis (AS). A computed tomography (CT) angiogram revealed patent grafts. The CT images were studied to check the feasibility for a sutureless aortic valve implantation which he underwent. His postoperative period was uneventful and he was discharged on the 5th postoperative day. This case report shows that sutureless aortic valve implantation is feasible and has excellent results in a patient who has a patent left internal thoracic artery (LITA) and saphenous vein grafts.
