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Ann Thorac Surg 1980;30:396-399
© 1980 The Society of Thoracic Surgeons


Articles

Patch Enlargement of the Aortic and the Mitral Valve Rings with Aortic-Mitral Double-Valve Replacement

Samuel Manouguian, M.D.*, Paul Gerhard Kirchhoff, M.D.

From the Department of Thoracic and Cardiovascular Surgery, Georg-August-University, Göttingen, West Germany

Accepted for publication September 27, 1979.

* Address reprint requests to Priv. Doz. Dr. Manouguian, Chirurg. Abt. des Kreiskrankenhauses Northeim, Sturmbäume 8, 3410 Northeim, West Germany

In 1 patient, patch enlargement of the aortic valve ring was accomplished by extending the aortic incision into the anterior mitral leaflet. The pericardial patch broke from the aortic leaflet of the mitral valve on the fourth postoperative day. The resultant acute mitral incompetence necessitated mitral valve replacement also. An aortic-mitral double-valve replacement with attendent enlargement of both the aortic and mitral valve rings ensued. To our knowledge, enlargement of the aortic and mitral valve rings with aortic-mitral double-valve replacement has not been described in the literature.




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