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The Journal of Thoracic and Cardiovascular Surgery, Vol 70, 909-917, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
S Konno, Y Imai, Y Iida, M Nakajima and K Tatsuno
The smallest commercially available prosthetic valve has an external
diameter of 17 mm. Therefore, prosthetic valve replacement has been
unfeasible in cases in which the diameter of the aortic valve ring is
smaller than this size. A new operative method was used on 2 patients with
congenital aortic valve lesions associated with hypoplasia of the valve
ring. The procedure consists of a longitudinal incision in the aortic
septum placed in the midportion of the two coronary ostia, a vertical
incision in the outflow tract of the right ventricle to join the septal
incision, prosthetic aortic valve replacement, and patch reconstruction of
the outflow tracts of both ventricles by means of two layers of a fusiform
Dacron patch. A 23-year-old woman with congenital aortic stenosis
associated with hypoplattic aortic valve ring underwent prosthetic
placement of the aortic valve and is well 1 year after the operation. Our
other patient, a 3-month-old infant with congenital aortic regurgitation,
died on the first postoperative day because of postperfusion lung. However,
her hemodynamic status had been good in the immediate postoperative period.
ARTICLES
A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring
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