Acta Scientific Cardiovascular System

Research Article Volume 1 Issue 4

Patch Enlargement of the Aortic Root with the Incision in Right Muscular Trigone of Left Ventricle Outflow Tract

Maksim Sazonenkov Alexandrovich1*, Ivan Skopin Ivanovich2, Khushbakhtdzon Ismatov Hasanovich3 and Andrey Tatarintsev Mihailovich4

1Professor, Cardiovascular Surgeon at the Regional State Budget Public Health Institution “Belgorod Regional Clinical Hospital of St. Joseph”, Belgorod, Russia
2Professor, Director of the Institute of Coronary and Vascular Surgery of Bakoulev Center for Cardiovascular Surgery, Moscow, Russia
3Postgraduate at the Department of Hospital Surgery, Federal State Autonomous Educational Institution of Higher Education” Belgorod State National Research University”, Belgorod, Russia
4Postgraduate, Surgeon, at the Regional State Budget Public Health Institution “Belgorod Regional Clinical Hospital of St. Joseph”, Belgorod, Russia

*Corresponding Author: Maksim Sazonenkov Alexandrovich, Professor, Cardiovascular Surgeon at the Regional State Budget Public Health Institution “Belgorod Regional Clinical Hospital of St. Joseph”, Belgorod, Russia.

Received: July 20,2022; Published: September 29, 2022

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Abstract

Successful aortic stenosis treatment depends on the corresponding prosthesis size implantation. Valve effective orifice index by S. Rashimtoola must exceed 0.85. In our practice we used two methods of aortic rot enlargement. Incision of the posterior aortic wall and mitral-aortic curtain by Nicks R. The second were the same maneuvers with incision prolongation on mitral valve anterior leaflet by Rittenhouse E.A. However, in the cases of advanced aortic root calcinosis these incisions seem to be critically dangerous. In these circumstances it is possible to change the incision direction to the right muscular trigone of the left ventricle outflow tract.

During 01.01.2015-01.09.2021 in the Cardiac Surgery Department of Belgorod regional clinic there were 28 cases of posterior aortoplasty in patients with 21-sized prostheses. Of them the aortoplasty with right muscular trigone incision constituted 4 cases. In all aortoplasty technics we didn’t meet problems with hemostasis or conductive pathway lesion.

The literature review, our practice in David T.E. operation showed small surgical risks for posterior aortoplasty with right muscular trigone incision. It may be used in cases with mitral-aortic curtain and MV anterior leaflet calcinosis.

 

Keywords: Posterior Aortoplasty; Left Ventricle; Outflow Tract

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References

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Citation

Citation: Maksim Sazonenkov Alexandrovich., et al. “Patch Enlargement of the Aortic Root with the Incision in Right Muscular Trigone of Left Ventricle Outflow Tract" Acta Scientific Cardiovascular System 1.5 (2022): 32-37.



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