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The Annals of Thoracic Surgery, Vol 47, 930-932, Copyright © 1989 by The Society of Thoracic Surgeons
RA Hopkins
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.
ARTICLES
Allograft aortic valve replacement for bicuspid aortic valves with 180- degree coronary ostia
Department of Surgery, Georgetown University, Washington, DC.
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