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J Chest Surg
Published online November 6, 2023
Copyright © Journal of Chest Surgery.
Michael Salna , M.D., M.B.A.1, Jack Shanewise
, M.D.2, Alex D’Angelo, M.D.1, Isaac George
, M.D.1
1Division of Cardiac, Thoracic, and Vascular Surgery, Department of Surgery and 2Division of Cardiac Anesthesiology, Department of Anesthesiology, Columbia University Irving Medical Center, New York, NY, USA
Correspondence to:Isaac George
Tel 1-212-305-4134
Fax 1-212-305-4134
E-mail ig2006@cumc.columbia.edu
ORCID
https://orcid.org/0000-0001-7770-4450
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
The COR-KNOT suture fastening device has dramatically improved the efficiency of valve suture fixation. Despite its relative ease of use, there are important considerations in deployment to limit the risk of prosthetic valve injury. Herein, we report a case of iatrogenic aortic bioprosthetic insufficiency caused by poorly positioned COR-KNOTs and outline technical strategies to ensure success.
Keywords: Valve replacement, COR-KNOT, Sutures, Aortic valve, Case report
J Chest Surg
Published online November 6, 2023
Copyright © Journal of Chest Surgery.
Michael Salna , M.D., M.B.A.1, Jack Shanewise
, M.D.2, Alex D’Angelo, M.D.1, Isaac George
, M.D.1
1Division of Cardiac, Thoracic, and Vascular Surgery, Department of Surgery and 2Division of Cardiac Anesthesiology, Department of Anesthesiology, Columbia University Irving Medical Center, New York, NY, USA
Correspondence to:Isaac George
Tel 1-212-305-4134
Fax 1-212-305-4134
E-mail ig2006@cumc.columbia.edu
ORCID
https://orcid.org/0000-0001-7770-4450
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
The COR-KNOT suture fastening device has dramatically improved the efficiency of valve suture fixation. Despite its relative ease of use, there are important considerations in deployment to limit the risk of prosthetic valve injury. Herein, we report a case of iatrogenic aortic bioprosthetic insufficiency caused by poorly positioned COR-KNOTs and outline technical strategies to ensure success.
Keywords: Valve replacement, COR-KNOT, Sutures, Aortic valve, Case report
1999; 32(6): 591-594
1998; 31(6): 586-590