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Ann Thorac Surg 2002;74:1269-1270
© 2002 The Society of Thoracic Surgeons
a Providence St. Vincent Heart Institute and Medical Center, Albert Starr Academic Center, Portland, Oregon, USA
Accepted for publication May 1, 2002.
* Address reprint requests to Dr Savitt, 9155 SW Barnes Rd, Suite 240, Portland, OR 97225 USA
e-mail: msavitt{at}starrwood.com
Aortic valve replacement in patients with a patent left internal mammary artery graft is often a challenge because of the difficulties with dissection of the left internal mammary artery and optimum myocardial protection. We describe a simple technique of aortic valve replacement with a beating heart and continuous coronary perfusion for this difficult group of patients.
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