"Peninsula-style" transverse aortic arch replacement in patients with bicuspid aortic valve

Akinobu Itoh, Michael Fischbein, Koji Arata, David Craig Miller

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Although the optimal surgical treatment of the dilated aortic arch is controversial in patients with a bicuspid aortic valve, such exists in more than 70% of bicuspid aortic valve patients. Aortic wall histologic abnormalities are present from the aortic root to the distal arch regardless of aortic size. We describe a simple "peninsula-style" technique of transverse arch replacement used in conjunction with valve-sparing aortic root replacement for patients with a bicuspid aortic valve. This provides resection of the entire dilated thoracic aorta, preserving the arch branches in continuity with the proximal descending aorta.

Original languageEnglish
Pages (from-to)1369-1371
Number of pages3
JournalAnnals of Thoracic Surgery
Volume90
Issue number4
DOIs
StatePublished - Oct 2010

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