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Division of Cardiovascular and Thoracic Surgery, Missouri Baptist Medical Center, St. Louis, Missouri
Accepted for publication April 20, 2007.
* Address correspondence to Dr Kouchoukos, Missouri Baptist Medical Center, 3009 N Ballas Rd, Suite 360C, St. Louis, MO 63131 (Email: ntkouch{at}aol.com).
A technique is presented for treatment of annular erosion using a polyester tube graft that is sutured to the left ventricular outflow tract below the area of erosion. The graft is then everted and sutured to a composite graft. Interposition polyester grafts from the coronary arteries are attached to the composite graft above the valve.
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