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José L. Navia
Fernando A. Atik
Antonino Marullo
Randall C. Starling
Pablo Ruda Vega
Nicholas G. Smedira
Patrick M. McCarthy
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Right arrow Transplantation - heart

Ann Thorac Surg 2005;80:313-315
© 2005 The Society of Thoracic Surgeons

Case report

Bench Repair of Donor Aortic Valve With Minimal Access Orthotopic Heart Transplantation

José L. Navia, MD*, Fernando A. Atik, MD, Antonino Marullo, MD, Randall C. Starling, MD, Mario Garcia, MD, Pablo Ruda Vega, MD, Nicholas G. Smedira, MD, Patrick M. McCarthy, MD

Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio

Accepted for publication January 14, 2004.

* Address reprint requests to Dr Navia, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Desk F-25, 9500 Euclid Ave, Cleveland, OH44195 (Email: naviaj{at}ccf.org).

While the number of people waiting heart transplantation increases, the number of organ donors decreases. This shrinking donor pool has prompted reassessment of donor selection for heart transplantation. Bench repair of a donor aortic valve was performed before minimal access orthotopic heart transplantation. Aortic insufficiency in the structurally normal tricuspid aortic valve was due to annular dilatation and was corrected with subcommissural annular plication. The postoperative period was uneventful. Follow-up at 4.5 years showed good results and no evidence of aortic regurgitation.






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