Use of aortic wall patches as leaflet replacement material during aortic valve repair.

ABSTRACT:

Objectives

Aortic valve repair can be limited by inadequate leaflet tissue for proper coaptation. Various kinds of pericardium have been used for cusp augmentation, but most have failed because of tissue degeneration. A more durable leaflet substitute is needed.

Methods

In this report, 8 consecutive cases are presented in which autologous ascending aortic tissue was used to augment inadequate native cusps during aortic valve repair. Biologically, aortic wall is a living autologous tissue that could have exceptional durability as a leaflet substitute. Techniques for insertion are described in detail, along with procedural videos.

Results

Early surgical outcomes were excellent, with no operative mortalities or complications, and all valves were competent with low valve

SUBMITTER: Myers JL 

PROVIDER: S-EPMC10268232 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature