Coronary orifice rotation for symmetric bicuspidization of a paediatric unicuspid aortic valve.

Q4 Medicine

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-16 DOI:10.1510/mmcts.2024.092

Shunsuke Matsushima, Sara Kubo, Akihiko Higashida, Yoshihiro Oshima, Hironori Matsuhisa

引用次数: 0

Abstract

Bicuspidization is a valid option for unicuspid aortic valve repair, in which creating symmetrical commissural orientation is essential for improved outcomes. However, the right coronary orifice often interferes with symmetrical attachment of the neocommissure. In a paediatric patient without aortic root dilation, we rotated the right coronary orifice clockwise by cutting out a triangular piece of the non-coronary sinus wall and augmenting it between the left and right coronary sinuses. A neocommissure with patching was sewn to the left side of the right coronary orifice, and the symmetrical bicuspidized configuration was adjusted in a standardized fashion according to the cusp effective height measurement.

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对小儿单尖主动脉瓣进行对称双尖瓣化的冠状动脉口旋转。

双尖瓣成形术是单尖主动脉瓣修复术的一种有效选择，在这种手术中，形成对称的合瓣方向对改善预后至关重要。然而，右冠状动脉口往往会影响新合瓣的对称附着。在一名没有主动脉根部扩张的儿科患者身上，我们顺时针旋转了右冠状动脉口，方法是在非冠状动脉窦壁切出一块三角形区域，并在左右冠状动脉窦之间将其增大。在右冠状动脉口左侧缝合了一个带补片的新腔隙，并根据尖部有效高度测量结果，以标准化方式调整了对称双尖结构。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.