ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Ciro Campanella
Evan W.J. Cameron
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cale, A. R. J.
Right arrow Articles by Cameron, E. W. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cale, A. R. J.
Right arrow Articles by Cameron, E. W. J.

Ann Thorac Surg 1993;55:1218-1221
© 1993 The Society of Thoracic Surgeons

Articles

Hufnagel revisited: A descending thoracic aortic valve to treat prosthetic valve insufficiency

Alexander R.J. Cale, FRCS, Christopher T.M. Sang, FRCP, FRCS*, Ciro Campanella, FRCS, Evan W.J. Cameron, FRCS

Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Scotland

Accepted for publication September 14, 1992.

* Address reprint requests to Mr Sang, Department of Cardiothoracic Surgery, Ruyal Infirmary of Edinburgh, Lauriston Place, Edinburgh, EH3 9YW, Scotland, UK.

In 1953 Hufnagel and Harvey reported their successful treatment of aortic valve insufficiency by the implantation of a ball-valve prosthesis into the descending thoracic aorta. Since then, great advances in technology, surgery, and anesthesia have made aortic valve replacement a more common procedure with relatively low mortality. This remains true for the vast majority of prosthetic valve replacements. However, cases requiring reoperation can be difficult, leading to a much higher degree of morbidity and mortality. In selected patients who require repeated approaches to the aortic root we propose that Hufnagel's original idea may still be of value to reduce the severity of aortic insufficiency. We report our experience in 4 cases of aortic prosthetic incompetence, all of which were improved by two New York Heart Association functional classes after a modification of Hufnagel's procedure.




This article has been cited by other articles:


Home page
 J Am Coll Cardiol IntvHome page
M. Y. Emmert, B. Weber, L. Behr, T. Frauenfelder, C. E. Brokopp, J. Grunenfelder, V. Falk, and S. P. Hoerstrup
Transapical Aortic Implantation of Autologous Marrow Stromal Cell-Based Tissue-Engineered Heart Valves: First Experiences in the Systemic Circulation
J. Am. Coll. Cardiol. Intv., July 1, 2011; 4(7): 822 - 823.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. W. Emery, F. Eales, C. H. Van Meter Jr, M. B. Knudson, E. E. Solien, and K. S. Tweden
Ventriculocoronary artery bypass results using a mesh-tipped device in a porcine model
Ann. Thorac. Surg., September 1, 2001; 72(3): S1004 - S1008.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
A. Weerasinghe, M.-B. Edwards, and K. M. Taylor
First Redo Heart Valve Replacement : A 10-Year Analysis
Circulation, February 9, 1999; 99(5): 655 - 658.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
U. Ersoy, I. Pasaoglu, M. Yilmaz, and S. Ates
An alternative repair technique for aortic periprosthetic leakage
Eur J Cardiothorac Surg, February 1, 1999; 15(2): 204 - 205.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1993 by The Society of Thoracic Surgeons.