Automated coring and apical connector insertion device for aortic valve bypass surgery

Corey Adams, Linrui Ray Guo, Philip M. Jones, Christopher Harle, John W. Brown, James S. Gammie, Bob Kiaii

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The technical difficulty of performing the left ventricular apical anastomosis has limited the adoption of aortic valve bypass surgery for the treatment of aortic stenosis. We report the successful use of an automated coring and apical connector device to perform aortic valve bypass surgery. A 74-year-old man, with a history of prior coronary bypass surgery with patent grafts and a porcelain ascending aorta, presented with symptomatic critical aortic stenosis. Through a left anterolateral thoracotomy, a valved conduit was anastomosed to the descending thoracic aorta. The automated coring and apical connector insertion device was used to core a plug of apical myocardium and simultaneously insert an 18-mm apical connector into the left ventricular apex. There were no procedural complications, cardiopulmonary bypass was not used, and estimated blood loss was minimal. The patient was discharged on postoperative day 5, and at 3-month follow-up demonstrated significant clinical and hemodynamic improvement. The automated coring and apical connector insertion device facilitated the safe and effective performance of aortic valve bypass surgery.

Original languageEnglish (US)
Pages (from-to)290-293
Number of pages4
JournalAnnals of Thoracic Surgery
Volume93
Issue number1
DOIs
StatePublished - Jan 1 2012

Fingerprint

Aortic Valve
Equipment and Supplies
Aortic Valve Stenosis
Thoracic Aorta
Dental Porcelain
Thoracotomy
Cardiopulmonary Bypass
Aorta
Myocardium
Hemodynamics
Transplants
Therapeutics

ASJC Scopus subject areas

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

Cite this

Automated coring and apical connector insertion device for aortic valve bypass surgery. / Adams, Corey; Guo, Linrui Ray; Jones, Philip M.; Harle, Christopher; Brown, John W.; Gammie, James S.; Kiaii, Bob.

In: Annals of Thoracic Surgery, Vol. 93, No. 1, 01.01.2012, p. 290-293.

Research output: Contribution to journalArticle

Adams, Corey ; Guo, Linrui Ray ; Jones, Philip M. ; Harle, Christopher ; Brown, John W. ; Gammie, James S. ; Kiaii, Bob. / Automated coring and apical connector insertion device for aortic valve bypass surgery. In: Annals of Thoracic Surgery. 2012 ; Vol. 93, No. 1. pp. 290-293.
@article{659de3c94bc84c27a7385aadddb3cd5a,
title = "Automated coring and apical connector insertion device for aortic valve bypass surgery",
abstract = "The technical difficulty of performing the left ventricular apical anastomosis has limited the adoption of aortic valve bypass surgery for the treatment of aortic stenosis. We report the successful use of an automated coring and apical connector device to perform aortic valve bypass surgery. A 74-year-old man, with a history of prior coronary bypass surgery with patent grafts and a porcelain ascending aorta, presented with symptomatic critical aortic stenosis. Through a left anterolateral thoracotomy, a valved conduit was anastomosed to the descending thoracic aorta. The automated coring and apical connector insertion device was used to core a plug of apical myocardium and simultaneously insert an 18-mm apical connector into the left ventricular apex. There were no procedural complications, cardiopulmonary bypass was not used, and estimated blood loss was minimal. The patient was discharged on postoperative day 5, and at 3-month follow-up demonstrated significant clinical and hemodynamic improvement. The automated coring and apical connector insertion device facilitated the safe and effective performance of aortic valve bypass surgery.",
author = "Corey Adams and Guo, {Linrui Ray} and Jones, {Philip M.} and Christopher Harle and Brown, {John W.} and Gammie, {James S.} and Bob Kiaii",
year = "2012",
month = "1",
day = "1",
doi = "10.1016/j.athoracsur.2011.08.063",
language = "English (US)",
volume = "93",
pages = "290--293",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "1",

}

TY - JOUR

T1 - Automated coring and apical connector insertion device for aortic valve bypass surgery

AU - Adams, Corey

AU - Guo, Linrui Ray

AU - Jones, Philip M.

AU - Harle, Christopher

AU - Brown, John W.

AU - Gammie, James S.

AU - Kiaii, Bob

PY - 2012/1/1

Y1 - 2012/1/1

N2 - The technical difficulty of performing the left ventricular apical anastomosis has limited the adoption of aortic valve bypass surgery for the treatment of aortic stenosis. We report the successful use of an automated coring and apical connector device to perform aortic valve bypass surgery. A 74-year-old man, with a history of prior coronary bypass surgery with patent grafts and a porcelain ascending aorta, presented with symptomatic critical aortic stenosis. Through a left anterolateral thoracotomy, a valved conduit was anastomosed to the descending thoracic aorta. The automated coring and apical connector insertion device was used to core a plug of apical myocardium and simultaneously insert an 18-mm apical connector into the left ventricular apex. There were no procedural complications, cardiopulmonary bypass was not used, and estimated blood loss was minimal. The patient was discharged on postoperative day 5, and at 3-month follow-up demonstrated significant clinical and hemodynamic improvement. The automated coring and apical connector insertion device facilitated the safe and effective performance of aortic valve bypass surgery.

AB - The technical difficulty of performing the left ventricular apical anastomosis has limited the adoption of aortic valve bypass surgery for the treatment of aortic stenosis. We report the successful use of an automated coring and apical connector device to perform aortic valve bypass surgery. A 74-year-old man, with a history of prior coronary bypass surgery with patent grafts and a porcelain ascending aorta, presented with symptomatic critical aortic stenosis. Through a left anterolateral thoracotomy, a valved conduit was anastomosed to the descending thoracic aorta. The automated coring and apical connector insertion device was used to core a plug of apical myocardium and simultaneously insert an 18-mm apical connector into the left ventricular apex. There were no procedural complications, cardiopulmonary bypass was not used, and estimated blood loss was minimal. The patient was discharged on postoperative day 5, and at 3-month follow-up demonstrated significant clinical and hemodynamic improvement. The automated coring and apical connector insertion device facilitated the safe and effective performance of aortic valve bypass surgery.

UR - http://www.scopus.com/inward/record.url?scp=84055192181&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84055192181&partnerID=8YFLogxK

U2 - 10.1016/j.athoracsur.2011.08.063

DO - 10.1016/j.athoracsur.2011.08.063

M3 - Article

C2 - 22186447

AN - SCOPUS:84055192181

VL - 93

SP - 290

EP - 293

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 1

ER -