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Ann Thorac Surg 1997;64:1197-1200
© 1997 The Society of Thoracic Surgeons

How To Do It

Implantation of the Toronto SPV Stentless Porcine Bioprosthesis in Dilated Ascending Aorta

Robert P. Siebenmann, MD

Cardiovascular Surgery, HerzZentrum Hirslanden, Zürich, Switzerland

Accepted for publication May 2, 1997.

In the presence of severe dilatation of the ascending aorta the implantation of a Toronto SPV stentless bioprosthesis is compromised by the risk of postoperative central regurgitation. A modification of the implantation technique is described that restores the normal shape of the ascending aorta and thereby avoids the risk of dysfunction of the prosthesis.




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