Method of Managing the Small Aortic Annulus during Valve Replacement
Autor: | Dennis F. Pupello, Sheldon Sbar, Luis N. Bessone, Eric E. Harrison, Richard H. Blank |
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Rok vydání: | 1976 |
Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Valve replacement Aortic valve replacement medicine.artery Mitral valve Ascending aorta medicine Humans cardiovascular diseases Cardiac skeleton Child Aged Annulus (mycology) Anterior leaflet Heterografts business.industry Anatomy Middle Aged equipment and supplies medicine.disease Surgery medicine.anatomical_structure Aortic Valve Child Preschool Heart Valve Prosthesis cardiovascular system Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
Zdroj: | The Annals of Thoracic Surgery. 22:356-361 |
ISSN: | 0003-4975 |
DOI: | 10.1016/s0003-4975(10)64967-3 |
Popis: | In a series of 130 patients undergoing aortic valve replacement, 20 had the ascending aorta enlarged with a Dacron patch. Eight of these required division of the annulus with extension of the incision inferiorly to the anterior leaflet of the mitral valve. The resulting separation of the annulus allowed a larger size valve to be inserted. Glutaraldehyde-fixed porcine heterografts were used in all patients having the annulus enlarged. No deaths occurred in those patients having annular enlargement, and the postoperative studies show no evidence of mitral valve dysfunction. |
Databáze: | OpenAIRE |
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