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Ann Thorac Surg 1991;51:676-677
© 1991 The Society of Thoracic Surgeons

Articles

Patch aortotomy for aortic valve replacement after previous coronary artery bypass grafting

Rakesh Sindhi, MD, Julian Belisle, MD, Richard J. Cleveland, MD, James T. Diehl, MD*

Department of Cardiothoracic Surgery, New England Medical Center Hospitals and Tufts University School of Medicine, Boston, Massachusetts USA

Accepted for publication December 26, 1990.

* Address reprint requests to Dr Diehl, Department of Cardiothoracic Surgery, New England Medical Center, 750 Washington St, Boston, MA 02111.

Exposure for aortic valve operations after previous coronary artery bypass grafting may be technically difficult owing to the presence of patent vein grafts on the proximal aorta. A patch or "island" aortotomy technique that allows excellent exposure of the aortic valve is presented here. In select patients this approach may facilitate cardioplegia administration.




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