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Ann Thorac Surg 1992;54:985-986
© 1992 The Society of Thoracic Surgeons

Articles

Simplified correction of outflow obstruction after mitral valve replacement

Mark K. Reed, MDa,b, Leigh I.G. Iverson, MD*,a,b

a Department of Surgery, David Grant USAF Medical Center, Travis Air Force Base, California, USA
b East Bay Heart Surgery, Oakland, California, USA

Accepted for publication February 14, 1992.

* Address reprint requests to Dr Iverson, East Bay Heart Surgery, 365 Hawthorne Ave, Suite 301, Oakland, CA 94609-3102.

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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