Use of Toronto stentless porcine valve in patients with aortic dilation.

M. R. Petracek, T. A. Shuman, J. S. Pirolo, Mark Tedder, S. K. Ball, D. Graves

    Research output: Contribution to journalArticle

    6 Citations (Scopus)

    Abstract

    One of the contraindications for a stentless aortic valve is dilation of the aorta such that the sinotubular ridge is more than 2 mm larger than the annulus. Since May of 1994, 134 patients have had their aortic valve replaced with St Jude Toronto SPV valves; of these, 38 patients have required sinotubular ridge reduction. This was done by using one or more pleats in the aorta between the commisural posts. There were 20 patients with one pleat, 12 patients with two pleats, 5 patients with three pleats, and 1 patient with four pleats. In addition, three Toronto SPV valves were used in patients with significant calcification in the native coronary sinuses. All of the valves have had trace or no aortic insufficiency and have not developed aortic insufficiency in follow-up evaluation. Mean gradients remain low (<10 mm Hg). These valves have been much more versatile than originally expected and can be used in patients with mild to moderate aortic dilation and calcification.

    Original languageEnglish (US)
    Pages (from-to)74-78
    Number of pages5
    JournalSeminars in Thoracic and Cardiovascular Surgery
    Volume11
    Issue number4 Suppl 1
    StatePublished - Jan 1 1999

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    Dilatation
    Swine
    Aortic Valve
    Aorta
    Coronary Sinus

    All Science Journal Classification (ASJC) codes

    • Surgery
    • Pulmonary and Respiratory Medicine
    • Cardiology and Cardiovascular Medicine

    Cite this

    Petracek, M. R., Shuman, T. A., Pirolo, J. S., Tedder, M., Ball, S. K., & Graves, D. (1999). Use of Toronto stentless porcine valve in patients with aortic dilation. Seminars in Thoracic and Cardiovascular Surgery, 11(4 Suppl 1), 74-78.

    Use of Toronto stentless porcine valve in patients with aortic dilation. / Petracek, M. R.; Shuman, T. A.; Pirolo, J. S.; Tedder, Mark; Ball, S. K.; Graves, D.

    In: Seminars in Thoracic and Cardiovascular Surgery, Vol. 11, No. 4 Suppl 1, 01.01.1999, p. 74-78.

    Research output: Contribution to journalArticle

    Petracek, MR, Shuman, TA, Pirolo, JS, Tedder, M, Ball, SK & Graves, D 1999, 'Use of Toronto stentless porcine valve in patients with aortic dilation.', Seminars in Thoracic and Cardiovascular Surgery, vol. 11, no. 4 Suppl 1, pp. 74-78.
    Petracek MR, Shuman TA, Pirolo JS, Tedder M, Ball SK, Graves D. Use of Toronto stentless porcine valve in patients with aortic dilation. Seminars in Thoracic and Cardiovascular Surgery. 1999 Jan 1;11(4 Suppl 1):74-78.
    Petracek, M. R. ; Shuman, T. A. ; Pirolo, J. S. ; Tedder, Mark ; Ball, S. K. ; Graves, D. / Use of Toronto stentless porcine valve in patients with aortic dilation. In: Seminars in Thoracic and Cardiovascular Surgery. 1999 ; Vol. 11, No. 4 Suppl 1. pp. 74-78.
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