Florida sleeve is a safe and effective technique for valve salvage in acute stanford type A aortic dissection

Faculty of Medicine

Assiut University

Florida sleeve is a safe and effective technique for valve salvage in acute stanford type A aortic dissection

Research Authors
Mahmoud Alhussaini, Eric I Jeng, Tomas D Martin, Amber Fillion, Thomas M Beaver, George J Arnaoutakis
Research Date
Research Department
Department of Cardio-Thoracic Surgery
Research Journal
Journal of Cardiac Surgery
Research Member
Mahmoud Ahmed AbdulHai Mohamed Alhussaini
Research Year
2021
Research Abstract

Objective

Valve‐sparing root replacement is commonly used for management of aortic root aneurysms in elective setting, but its technical complexity hinders its broader adoption for acute type‐A aortic dissection (ATAAD). The Florida sleeve (FS) procedure is a simplified form of valve sparing aortic root reconstruction that does not require coronary reimplantation. Here, we present our outcomes of the FS repair in patients with dilated roots in the setting of an ATAAD.

Methods

We retrospectively reviewed 24 consecutive patients (2002–2018) treated with FS procedure for ATAAD. Demographic, operative, and postoperative outcomes were queried from our institutional database. Long term follow‐up was obtained from clinic visits for local patients, and with telephone and telehealth measures otherwise.

Results

Mean age was 49 ± 14 years with 19 (79%) males. Marfan syndrome was present in 4 (16.7 …