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The Annals of Thoracic Surgery, Vol 47, 930-932, Copyright © 1989 by The Society of Thoracic Surgeons


ARTICLES

Allograft aortic valve replacement for bicuspid aortic valves with 180- degree coronary ostia

RA Hopkins
Department of Surgery, Georgetown University, Washington, DC.

Congenital bicuspid aortic stenosis is often an indication for aortic valve replacement in young adults and children. However, when the coronary ostia are exactly 180 degrees opposite each other, placing a trileaflet human allograft with freehand technique can be difficult. The described technique enlarges the left ventricular outflow tract beginning at the annulus level, using only allograft tissue. In addition to allowing placement of a larger allograft, this method rotates the coronary ostia toward each other, converting the aortic root to three-sinus anatomy.


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Ann. Thorac. Surg.Home page
R. L. Prager, C. R. Fischer, B. Kong, J. P. Byrne, D. J. Jones, M. L. Hance, and O. Gago
The Aortic Homograft: Evolution of Indications, Techniques, and Results in 107 Patients
Ann. Thorac. Surg., September 1, 1997; 64(3): 659 - 663.
[Abstract] [Full Text]




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Copyright © 1989 by The Society of Thoracic Surgeons.