Two Cases of Aortic Root Replacement Using Anatomic Ventriculoaortic Junction Suture

(Department of Cardiovascular Surgery, Chugoku Rosai Hospital, Cerebro-Cardiovascular Center, Kure, Japan)

Saihou Hayashi Jun Kawamoto
For aortic root replacement in annuloaortic ectasia (AAE), an artificial prosthesis is commonly sutured to the aortic annuls (hemodynamic ventriculoaortic junction). In this case report, suturing was conducted using the anatomic ventriculoaortic junction along with full-thickness-suturing. The first case was a 28-year-old man and the second, his 31-year-old brother. The former showed AAE (maximum diameter, 120mm) with 4 AR and the latter, AAE (maximum diameter, 54mm) without AR. The present method is simple due to the flat suture line and is quite reliable owing to full-thickness-suturing.
@Jpn. J. Cardiovasc. Surg. 29: 53-56 (2000)