TY - JOUR
T1 - Valvular Regurgitation After Implantation of Prostheses Secured With Cor-Knot Automated Fasteners
AU - Brescia, Alexander A.
AU - Bolling, Steven F.
AU - Patel, Himanshu J.
N1 - Publisher Copyright:
© 2017
PY - 2017/6
Y1 - 2017/6
N2 - Valvular regurgitation is a recognized complication of aortic and mitral valve procedures, with paravalvular leak the primary mechanism and transvalvular leak less common. The Cor-Knot automated fastener (LSI Solutions, Victor, NY) has been shown to be a safe, viable alternative to knot pushers or manual tying for use in these procedures. Here we present two patients in whom the orientation of the Cor-Knot fastener appeared to result in transvalvular regurgitation necessitating a redo operation. With adjunctive use of Cor-Knot devices, fastener orientation relative to valve geometry must be assessed for optimal results.
AB - Valvular regurgitation is a recognized complication of aortic and mitral valve procedures, with paravalvular leak the primary mechanism and transvalvular leak less common. The Cor-Knot automated fastener (LSI Solutions, Victor, NY) has been shown to be a safe, viable alternative to knot pushers or manual tying for use in these procedures. Here we present two patients in whom the orientation of the Cor-Knot fastener appeared to result in transvalvular regurgitation necessitating a redo operation. With adjunctive use of Cor-Knot devices, fastener orientation relative to valve geometry must be assessed for optimal results.
UR - http://www.scopus.com/inward/record.url?scp=85019583844&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2016.11.035
DO - 10.1016/j.athoracsur.2016.11.035
M3 - Article
C2 - 27899293
AN - SCOPUS:85019583844
SN - 0003-4975
VL - 103
SP - e491-e492
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 6
ER -