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Ann Thorac Surg 1994;57:1319-1320
© 1994 The Society of Thoracic Surgeons

Articles

Aortic homograft and mitral valve repair in a patient with Werner's syndrome

Thierry Carrel, MD*, Miralem Pasic, MD, Tengis Tkebuchava, MD, Juraj Turina, MD, Rolf Jenni, MD, Marko I. Turina, MD

Clinic for Cardiovascular Surgery and Department for Medicine, University Hospital, Zürich, Switzerland

Accepted for publication July 28, 1993.

* Address reprint requests to Dr Carrel, Clinic for Cardiovascular Surgery, University Hospital, Rämistrasse 100, CH-8091, Zürich, Switzerland.

We report the caw of a 66-year-old man suffering fron Werner's syndrome (adult progeria); he presented with several cardiac disorders, including coronary artery disease, aortic stenosis, and mitral regurgitation, mainly due to calcific deposits in the mitral annulus and the aortic cusps. Treatment consisted of mitral repair, homograft replacement of the aortic valve, and coronary artery bypass grafting. Avoidance of prosthetic material because of chronic infectious skin ulcers constituted the main goal of the operation.




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