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The Annals of Thoracic Surgery, Vol 51, 676-677, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

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

R Sindhi, J Belisle, RJ Cleveland and JT Diehl
Department of Cardiothoracic Surgery, New England Medical Center Hospital, Boston, Massachusetts.

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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