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Ann Thorac Surg 2002;73:667-670
© 2002 The Society of Thoracic Surgeons

How to do it

Enlargement of the aortic annulus using a double-patch technique: a safe and effective method

J. Ernesto Molina, MD, PhD*a

a Division of Cardiovascular and Thoracic Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA

Accepted for publication October 10, 2001.

* Address reprint requests to Dr Molina, Division of Cardiovascular and Thoracic Surgery, University of Minnesota, 420 Delaware St SE, MMC 182, Minneapolis, MN 55455, USA
e-mail: molin001{at}umn.edu

We have tested a new method to enlarge the aortic annulus using a double-patch technique after the Manouguian principle. Our study included 14 patients who had no operative mortality and no complications; long-term follow-up was 13 years. The method prevented mitral insufficiency and operative bleeding at the aortic root.




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