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Ann Thorac Surg 1979;27:367-373
© 1979 The Society of Thoracic Surgeons


Articles

Radical Enlargement of the Aortic Root and Outflow Tract to Allow Valve Replacement

Edward A. Rittenhouse, M.D.*, Lester R. Sauvage, M.D., Stanley J. Stamm, M.D., Peter B. Mansfield, M.D., Dale G. Hall, M.D., Paul S. Herndon, M.D.

Division of Cardiovascular Surgery and Cardiology, Children's Orthopedic Hospital and Medical Center, and the Reconstructive Cardiovascular Research Center International of Providence Medical Center, Seattle, WA

Accepted for publication July 17, 1978.

* Address reprint requests to Dr. Rittenhouse, Providence Medical Center, 528 18th Ave, Seattle, WA 98122

A method of radical enlargement of the aortic root and outflow tract is described. The technique consists of incising the aortic annulus, the anterior mitral leaflet, and the superior aspect of the left atrium. Valve replacement is then possible, with patch reconstruction of the resulting defects.




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