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Ann Thorac Surg 1976;22:356-361
© 1976 The Society of Thoracic Surgeons
Division of Thoracic and Cardiovascular Surgery, University of South Florida School of Medicine, and The Tampa General Hospital, Tampa, FL.
* Address reprint requests to Dr. Blank, 1 Davis Blvd, Tampa, FL 33606.
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.
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