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The Annals of Thoracic Surgery, Vol 48, 835-837, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Simplified method for reoperation on the mitral valve

PI Praeger, RW Pooley, RA Moggio, ED Somberg, MR Sarabu and GE Reed
Westchester County Medical Center, Valhalla, New York 10595.

Reoperation on the mitral valve is becoming more common because of the degeneration of bioprosthetic valves, endocarditis, and malfunction or thrombosis of mechanical valves. We advocate a technique that transforms a technically difficult operation into one that is much less tedious, time-consuming, and dangerous than reopening a sternal-split operative site the second, third, or fourth time. Favorable experience in 11 patients using right anterolateral thoracotomy without aortic or right atrial cannulation and without aortic cross-clamping or cardioplegia is presented.


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