Valve-Sparing Repair of Aortic Root Aneurysms: An Update on the Florida Sleeve
AbstractAortic valve-sparing reimplantation remains an effective technique for repair of aortic root aneurysms. Studies indicate that the Florida Sleeve procedure is dimensionally stable and durable in the early postoperative period; however, our technique has evolved. We describe a 10-year institutional experience and the technical update of the Florida Sleeve repair for root aneurysms.
David TE, Feindel CM. 1992. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J Thorac Cardiovasc Surg 103:617-21; discussion 622.nDavid TE, Feindel CM, Webb GD, Colman JM, Armstrong S, Maganti M. 2006. Long-term results of aortic valve-sparing operations for aortic root aneurysm. J Thorac Cardiovasc Surg 132:347-54.nGrande-Allen KJ, Cochran RP, Reinhall PG, Kunzelman KS. 2000. Re-creation of sinuses is important for sparing the aortic valve: a finite element study. J Thorac Cardiovasc Surg 119(4 Pt 1):753-63.nHess PJ Jr, Harman PK, Klodell CT, et al. 2009. Early outcomes using the Florida sleeve repair for correction of aortic insufficiency due to root aneurysms. Ann Thorac Surg 87:1161-8; discussion 1168-9.nHess PJ Jr, Klodell CT, Beaver TM, Martin TD. 2005. The Florida sleeve: a new technique for aortic root remodeling with preservation of the aortic valve and sinuses. Ann Thorac Surg 80:748-50.nKunzelman KS, Grande KJ, David TE, Cochran RP, Verrier ED. 1994. Aortic root and valve relationships. Impact on surgical repair. J Thorac Cardiovasc Surg 107:162-70.nSvensson LG. 2003. Sizing for modified David's reimplantation procedure. Ann Thorac Surg 76:1751-3.nSvensson LG, Cooper M, Batizy LH, Nowicki ER. 2010. Simplified david reimplantation with reduction of annular size and creation of artificial sinuses. Ann Thorac Surg 89:1443-7.n
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