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John D. Rumisek
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Ann Thorac Surg 1985;39:385-386
© 1985 The Society of Thoracic Surgeons

Articles

Transseptal Control of the Difficult Aortic Annulus

John D. Rumisek, M.D., Maj, MC USA, William R. Berry, M.D., Maj, MC USA, Michael J. Barry, M.D., Col, MC USA, John S. Clarke, M.D., Col, MC USA

Thoracic and Cardiovascular Surgery Service, Department of Surgery, Letterman Army Medical Center, Presidio of San Francisco, CA

Accepted for publication July 2, 1984.

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.






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