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The Annals of Thoracic Surgery, Vol 54, 985-986, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Simplified correction of outflow obstruction after mitral valve replacement

MK Reed and LI Iverson
Department of Surgery, David Grant USAF Medical Center, Travis Air Force Base, California.

Left ventricular outflow tract obstruction after mitral valve replacement may occur when a retained native anterior leaflet prolapses between prosthetic struts. Existing reports of left ventricular outflow tract obstruction by this mechanism lack emphasis on its surgical treatment. We obtained definitive relief of left ventricular outflow tract obstruction by transaortic exposure, division, and partial excision of the obstructing leaflet. This approach minimizes the complexity and potential morbidity of the correction.


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