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Ann Thorac Surg 1982;33:406-409
© 1982 The Society of Thoracic Surgeons


Articles

Replacement of the Ascending Aorta and Aortic Valve with a Composite Graft in Patients with Nondisplaced Coronary Ostia

Jeffrey M. Piehler, M.D.*, James R. Pluth, M.D.

From the Department of Thoracic and Cardiovascular Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN.

Accepted for publication April 13, 1981.

* Address reprint requests to Dr. Piehler, Mayo Clinic, 200 First St SW, Rochester, MN 55901.

Composite graft replacement of the ascending aorta and aortic valve is indicated for a variety of conditions affecting the aortic root. In most cases, cephalad displacement of the coronary ostia permits direct reimplantation of the ostia into the composite graft. Occasionally, anatomical factors exist that preclude the safe advancement of the ostia to the graft for direct anastomosis. A method for dealing with this problem utilizing a short interposed polytetrafluoroethylene graft between coronary ostia and composite graft is presented.




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