AI Article Synopsis
- Interrupted pledget-armed braided sutures are commonly used in valve implantation procedures.
- A 74-year-old woman with aortic valve endocarditis experienced annulus dehiscence after resection due to shallow annular abscess.
- To address high resistance and fit the valve snugly, tourniquets were applied circumferentially, achieving better approximation of the annulus before final fixation.
Article Abstract
Interrupted pledget-armed braided sutures are widely used for valve implantation. In a 74-year-old woman with aortic valve endocarditis and shallow annular abscess, annulus dehiscence resulted after resection. As resistance was too high for sufficient primary approximation, a snug fit of the valve by means of circumferential application of curbed tourniquets resembling Medusa's head after suture placement was achieved. Closest possible approximation of the upper and lower part of the annulus with the prosthesis prior to final fixation was thus possible, so that application of too much tension on a single suture could be avoided.
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| http://dx.doi.org/10.1093/icvts/ivx227 | DOI Listing |
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