Continuous-Suture Technique in Aortic Valve Replacement

2006 ◽  
Vol 21 (2) ◽  
pp. 178-181 ◽  
Author(s):  
He Qicai ◽  
Chen Zili ◽  
He Zhengfu ◽  
Zhang Weiming ◽  
Chen Zhoumiao ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Suture Technique ◽  
Continuous Suture

scholarly journals Continuous Suture Technique for Aortic Valve Replacement

2018 ◽  
Vol 45 (2) ◽  
pp. 121-121 ◽  
Author(s):  
Mi Kyung Lee ◽  
Jong Bum Choi ◽  
Nan Yeol Kim
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Suture Technique ◽  
Continuous Suture

Revival of Continuous Suture Technique in Aortic Valve Replacement in Patient with Aortic Valve Stenosis a Novel Modified Technique

2011 ◽  
Vol 6 (5) ◽  
pp. 311-315 ◽  
Author(s):  
Go Watanabe ◽  
Teruaki Ushijima ◽  
Shigeyuki Tomita ◽  
Shojiro Yamaguchi ◽  
Yoshinao Koshida ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Stenosis ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Valve Stenosis ◽  
Suture Technique ◽  
Continuous Suture ◽  
Cardiac Procedures ◽  
Group A ◽  
Group B

Objective The continuous suture technique has numerous advantages as simple, quick, and effective for aortic valve replacement; however, it is technically difficult. We have modified the continuous suture technique and evaluated our new technique in patients with aortic stenosis. Methods Between July 2007 and May 2010, 86 patients with aortic valve stenosis underwent aortic valve replacement alone or with other concomitant cardiac procedures including mitral valve surgery in our hospital. The patients were randomly divided into two groups: group A (n = 43) in which the continuous suture technique with some modifications was used and group B (n = 43) in which the conventional interrupted suture technique was used. There were no statistical differences between two groups in age, sex, body surface area, concomitant cardiac procedures, blood loss, and postoperative extubation time. Results The aortic cross-clamp time, cardiopulmonary bypass time, operation time, and hospital stay were significantly shorter in group A than that in group B, and the valve size was significantly larger in group A. No perivalvular leak was detected in postoperative echocardiograms. All patients recovered satisfactorily without complications associated with suture technique or prosthesis. During follow-up of 4 to 38 months, there were no clinically significant complications in group A, while one patient in group B developed perivalvular leakage requiring reoperation 3 months after surgery. Conclusions Our modified continuous suture method is useful for aortic valve replacement in patients with aortic stenosis and beneficial for the patients because the procedure is less invasive and a larger valve can be implanted.

Aortic Valve Replacement Using a Continuous Suture Technique

1993 ◽  
Vol 8 (4) ◽  
pp. 459-465 ◽  
Author(s):  
Hillel Laks ◽  
Jeffrey M. Pearl ◽  
Steven W. Barthel ◽  
Amir Elami ◽  
Thomas J. Sorensen ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Suture Technique ◽  
Continuous Suture

scholarly journals Continuous Suture Technique for Aortic Valve Replacement Shortens Cross-Clamp and Bypass Times

2017 ◽  
Vol 44 (6) ◽  
pp. 390-394 ◽  
Author(s):  
Tadashi Kitamura ◽  
James Edwards ◽  
Kagami Miyaji
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Suture Technique ◽  
Paravalvular Leak ◽  
Continuous Suture ◽  
Surgical Aortic Valve Replacement ◽  
Aortic Cross Clamp Time ◽  
Aortic Cross Clamp ◽  
Cross Clamp Time

The interrupted noneverting mattress suture technique is typically used in conventional surgical aortic valve replacement. The continuous suture technique, although faster, has been associated with a higher incidence of paravalvular leak. Using a slightly modified technique to minimize this risk, we investigated whether continuous suturing would shorten aortic cross-clamp time in aortic valve replacement in comparison with interrupted suturing. We reviewed the cases and compared the perioperative data of 60 consecutive patients in Japan and Australia (35 men and 25 women; median age, 70 yr) who had undergone aortic valve replacement with or without septal myectomy. The continuous suture technique had been used in 41 patients (Group CS) and the standard interrupted suture technique in 19 (Group IS). The groups were similar in age, sex, pathologic valvular conditions, and operative urgency. In Group CS, aortic cross-clamp time (47 vs 63 min; P=0.0001) and cardiopulmonary bypass time (76 vs 89 min; P=0.04) were significantly shorter. Neither group had early paravalvular leak. Using our continuous suture technique safely shortened aortic cross-clamp time during surgical aortic valve replacement.

scholarly journals Continuous Suture Technique for Aortic Valve Replacement: Technical Considerations and Controversies

2019 ◽  
Vol 28 (01) ◽  
pp. 064-068
Author(s):  
Ellie Moeller ◽  
Marcos Nores ◽  
Sotiris Stamou
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Operation Time ◽  
Aortic Insufficiency ◽  
Suture Technique ◽  
Continuous Suture ◽  
Increased Risk ◽  
Cardiac Bypass ◽  
Technical Considerations

AbstractContinuous suture technique (CST) for aortic valve replacement (AVR) is a simple, secure, and fast surgical technique that has been shown to significantly decrease cross clamp time and cardiac bypass time, ultimately resulting in decreased myocardial ischemic injury, operation time, and hospital stay. However, previous studies have reported increased risk of periprosthetic regurgitation with CST for AVR. We describe our technique for AVR using CST in 100 patients with low complication rate and no perioperative paravalvular aortic insufficiency.

Continuous Suture Technique and Impairment of the Atrioventricular Conduction After Aortic Valve Replacement

2010 ◽  
Vol 15 (6) ◽  
pp. 418-422 ◽  
Author(s):  
Pasquale Totaro ◽  
Giancarlo Calamai ◽  
Gianfranco Montesi ◽  
Carlo Barzaghi ◽  
Marino Vaccari
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Suture Technique ◽  
Atrioventricular Conduction ◽  
Continuous Suture

scholarly journals Aortic Valve Replacement Using Continuous Suture Technique in Patients with Aortic Valve Disease

2013 ◽  
Vol 46 (4) ◽  
pp. 249-255 ◽  
Author(s):  
Jong Bum Choi ◽  
Jong Hun Kim ◽  
Hyun Kyu Park ◽  
Kyung Hwa Kim ◽  
Min Ho Kim ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Valve Disease ◽  
Suture Technique ◽  
Valve Disease ◽  
Continuous Suture
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