The Florida Sleeve Procedure Is Durable and Improves Aortic Valve Function

Aalaei‐Andabili, Seyed Hossein; Martin, Tomas D.; Hess, Philip J.; Karimi, Ashkan; Bavry, Anthony A.; Arnaoutakis, George J.

doi:10.1055/s-0039-1687854

Cited by 22 publications

(19 citation statements)

References 27 publications

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“…These were introduced with the aim of simplifying the repair and shortening associated cross-clamp times by negating the need for coronary artery reimplantation or formal replacement of the aortic root. [14][15][16] These procedures do not replace the aortic root per se but they provide the root and ascending aorta with external support to prevent dilatation. One study utilized computed models and simulations to compare the efficacy of the sleeve procedure to the remodeling and reimplantation techniques.…”

Section: The First Aortic Root Replacement Was Demonstrated In 1968 Bmentioning

confidence: 99%

“…One of the newer valve‐sparing alternatives to formal VSRR include the personalized external aortic root support (PEARS) and Florida sleeve procedures. These were introduced with the aim of simplifying the repair and shortening associated cross‐clamp times by negating the need for coronary artery reimplantation or formal replacement of the aortic root 14–16 . These procedures do not replace the aortic root per se but they provide the root and ascending aorta with external support to prevent dilatation.…”

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confidence: 99%

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Valve sparing root replacement — Are we limited in our options?

et al. 2020

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Section: The First Aortic Root Replacement Was Demonstrated In 1968 Bmentioning

confidence: 99%

mentioning

confidence: 99%

Valve sparing root replacement — Are we limited in our options?

et al. 2020

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“…44 , 45 Reimplantation can be performed by preserving the native aortic root wall tissue (Florida sleeve). 46 Remodeling can be performed using three separate neosinus patches, 47 which facilitates partial remodeling procedures, especially in cases of acute aortic dissection. Each technique provides an acceptable outcome, however, discussing the superiority of one technique over others is beyond the scope of this review, but this issue is discussed in other articles.…”

Section: Technical Components Of Aortic Valve-preserving Surgerymentioning

confidence: 99%

Current trends in aortic valve-preserving surgery

Kunihara

2020

Asian Cardiovasc Thorac Ann

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The natural history of aortic regurgitation is not as benign as once believed, even in asymptomatic patients with preserved left ventricular function. Aortic valve surgery can prolong survival in these patients. However, both mechanical and biological aortic valve replacement have major disadvantages, especially in young patients. Aortic valve-preserving surgery has attracted a great deal of attention because it has a significant survival benefit over replacement. Nonetheless, aortic valve-preserving surgery has not been widely adopted due to the complexity of the technique and assessment (i.e., long learning curve). With recent technical and theoretical advances, aortic valve-preserving surgery has increasingly been performed with better outcomes, and therefore earlier surgical intervention in cases of aortic regurgitation has been considered. Recent advances in aortic valve-preserving surgery include repair-oriented classification of the etiology of aortic regurgitation, objective assessment of the cusp configuration (i.e., effective height and geometric height), use of aortic annuloplasty, introduction of two reproducible valve-sparing root replacement procedures (i.e., aortic valve reimplantation and aortic root remodeling techniques), standardization of aortic valve-preserving surgery, and assessment of cusp configuration with aortoscopy. A number of prospective multicenter studies are currently underway and will clarify the role of aortic valve-preserving surgery in the treatment of aortic regurgitation in the near future.

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“…The Florida Sleeve technique for root remodeling with preservation of the aortic valve and sinuses is a well-established technique for saving the aortic valve while narrowing the annulus and sinotubular junction (12)(13)(14)(15). Allowing the patient to keep their native aortic valve decreases the risk of bleeding issues related to mechanical valves as well as circumvents the potential need for the future re-intervention with a bioprosthetic valve (16).…”

Section: Introductionmentioning

confidence: 99%

Florida Sleeve for type A dissection

Freeman¹,

Beaver²,

Jeng³

et al. 2021

J Vis Surg

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In properly selected patients, an aortic root repair with valve salvage is a viable alternative to root replacement. Acute type A aortic dissections are often emergency operations with a high complexity. These cases are particularly difficult when the aortic root is enlarged, but the aortic valve leaflets and morphology are normal. In the setting of an acute ascending aortic dissection and enlarged aortic root, preservation of the valve via the use of the Florida Sleeve root repair technique is an alternative to root replacement. We present a case of our standard Florida Sleeve root repair in a patient with an ascending aortic aneurysm of 6.0 cm and an aortic root of 5.3 cm with moderate aortic insufficiency. The patient is a healthy 57-year-old male that had normal trileaflet anatomy but central aortic insufficiency appearing to be related to his root dilation on pre-operative echocardiogram. The Florida Sleeve technique for root remodeling with preservation of the aortic valve and sinuses is a technique for saving the aortic valve while narrowing the annulus and sinotubular junction. Familiarity with root replacement and valve preserving techniques during non-emergency setting is crucial in order to complete the procedure in an efficient manor during an aortic dissection operation.

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The Florida Sleeve Procedure Is Durable and Improves Aortic Valve Function

Cited by 22 publications

References 27 publications

Valve sparing root replacement — Are we limited in our options?

Valve sparing root replacement — Are we limited in our options?

Current trends in aortic valve-preserving surgery

Florida Sleeve for type A dissection

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