Mitral-aortic annular enlargement: modification of Manouguian's technique

Revista Brasileira de Cirurgia Cardiovascular

Mario Gesteira Costa¹  Frederico P. Vasconcelos E Silva¹  Alexandre Mota De Menezes¹  Ricardo De Carvalho Lima¹  Mozart Escobar¹  Antônio Carlos C. Leão¹  André Luis Andrade¹  Marcos Vinícius F. De Lucena¹ 

[1] ,Hospital Memorial São José Department of Unicárdio Cardiac SurgeryRecife PE

关键词: Cardiac surgical procedures;    Heart valves;    Aortic valve;    Mitral valve;    Procedimentos cirúrgicos cardíacos;    Valvas cardíacas;    Valva aórtica;    Valva mitral;   

DOI  :  10.1590/S0102-76382002000400012

来源: SciELO

【 摘 要 】

We hereby present a technical modification for mitral-aortic annular enlargement. The mitral valve is replaced through the retro-septal approach, avoiding patches for left atrial roof closure. We report a mitral-aortic valve replacement in a patient whose original annuli would preclude adequate prostheses. The simultaneous annular enlargement may be necessary for avoiding patient-prosthesis mismatch and for reconstructing destroyed mitral and aortic annuli. The technique may minimize the risk of bleeding and of paravalvular leakage, using an approach well known to cardiac surgeons.

【 授权许可】

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