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Ann Thorac Surg 2002;74:1269-1270
© 2002 The Society of Thoracic Surgeons


How to do it

A simple technique for aortic valve replacement in patients with a patent left internal mammary artery bypass graft

Michael A. Savitt, MD*a, Taranpreet Singh, MDa, Sunil Agrawal, MDa, Ambuj Choudhary, MDa, Hanan Chaugle, MDa, Aftab Ahmed, MDa

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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