Share this page on LinkedIn
Share This Page on Google+
Share This Page on Twitter
tell someone about this page print this page
You are here: Contents > 2015 > Volume 24 Number 1 January 2015 > AORTIC VALVE DISEASE > The Konno Procedure in Redo Aortic Valve Replacement after the Nicks Procedure

The Konno Procedure in Redo Aortic Valve Replacement after the Nicks Procedure

Kanji Matsuzaki1, Yohei Kudo1, Akihiko Ikeda1, Taisuke Konishi1, Tomoaki Jikuya1, Yuji Hiramatsu2

1Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Tsukuba, 2Department of Cardiovascular Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan

A case is reported of successful surgery using the Konno procedure seven years after the patient had undergone aortic valve replacement (AVR) with the Nicks procedure. A 79-year-old woman with aortic stenosis and a small aortic annulus had undergone previous AVR with a 17-mm mechanical prosthesis and aortic annular enlargement by the Nicks procedure. Redo surgery was performed using a 19-mm bioprosthesis with the Konno procedure, to replace a valve that had become stuck due to pannus formation. As intense adhesion was present around the heart, especially behind the posterior aortic wall where the Nicks procedure had been performed, the Konno procedure provided the advantage of a good field of vision at the aortic annulus. This procedure may be less invasive when applied to adults, because the septal incision in adults would be relatively smaller than in children. As well as being used in children, the Konno procedure could be an effective option for redo AVR in adults with a small aortic annulus.

The Journal of Heart Valve Disease 2015;24:1-3


The Konno Procedure in Redo Aortic Valve Replacement after the Nicks Procedure

Click the above hyperlink to view the article, right click (Ctrl click on a Mac) to open in a new browser window or tab.

Purchase this Article

Please click the button below to purchase this article. Single article purchases are provided at $50.00 per article. Upon clicking the button below, single article user account subscription details are requested and, upon successful payment, a single article user account is created. Single articles are availble in your account for seven days after purchase.