The Annals of Thoracic Surgery, Vol 39, 385-386, Copyright © 1985 by The Society of Thoracic Surgeons
Transseptal control of the difficult aortic annulus
JD Rumisek, WR Berry, MJ Barry and JS Clarke
Successful control of the aortic root in extensive erosive endocarditis,
with or without mycotic ventricular septal defect, frequently depends on
secure prosthetic fixation to the interventricular septum. We describe
transseptal suture fixation of aortic root prostheses through a pulmonary
infundibular approach and recommend its early use to avoid difficult, often
injurious, attempts at septal suture from within the left ventricular
outflow tract.