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Ann Thorac Surg 1998;66:2127-2131
© 1998 The Society of Thoracic Surgeons

How To Do It

Mitral valve replacement with homograft

Donald B. Doty, MDa, Christophe Acar, MDb

a Division of Thoracic and Cardiovascular Surgery, Department of Surgery, LDS Hospital, Salt Lake City, Utah, USA
b Hôpital Bichat, Paris, France

Accepted for publication July 11, 1998.

Address reprint requests to Dr Doty, 324 Tenth Ave, Salt Lake City, UT 84103
e-mail: (ldddoty{at}ihc.com)

The technique for replacement of the mitral valve with a mitral valve homograft is described. Principles include side-by-side approximation of the papillary muscles using multiple stitches of fine monofilament suture, direct attachment of the annulus of the mitral homograft to the annulus of the patient, and support of the repair by remodeling annuloplasty ring.




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