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Ann Thorac Surg 1978;25:368-371
© 1978 The Society of Thoracic Surgeons

Articles

Valve Placement in the Ventricular Apex for Complicated Left Ventricular Outflow Obstruction

Gordon F. Murray, M.D.

Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Clinical Sciences Building 229-H, Chapel Hill, NC 27514.

Accepted for publication September 23, 1977.

Successful correction of severe valvular calcific aortic stenosis is described in which a stented porcine aortic heterograft was placed in the ventricular apex. Creation of a double outlet is a valid alternative approach to relieve left ventricular hypertension, and indication for such a procedure may be encountered unexpectedly. Intramyocardial placement of a durable tissue valve provides a simple and effective option for the cardiac surgeon.




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