HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kawachi, Y. Articles by Tokunaga, K. Search for Related Content PubMed PubMed Citation Articles by Kawachi, Y. Articles by Tokunaga, K.

The Journal of Thoracic and Cardiovascular Surgery, Vol 104, 1259-1263, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Eleven-year follow-up study of aortic or aortic-mitral anulus-enlarging procedure by Manouguian's technique

Y Kawachi, R Tominaga and K Tokunaga
Division of Cardiovascular Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

Although Manouguian's operation is well established, there have been little long-term data published on its outcome. From January 1980 to June 1988, 15 patients underwent patch enlargement of the small aortic anulus by Manouguian's approach, either with aortic single valve replacement (7 patients) or with aortic-mitral double valve replacement (8 patients). Follow-up ranged from 3.0 to 11.4 years (mean 8.5) and was completed with a cumulative total of 102 patient-years. One patient died of fulminant hemolysis, probably related to turbulent jet flow and Dacron patch material (operative mortality 6.7%). There were four late deaths, and the actuarial survival, including operative death at 10 years, was 62% +/- 14%. Reoperations were performed seven times in six patients. Most of these complications were not considered to be caused by the anulus-enlarging procedure. Actuarial freedom rate from reoperation at 10 years was 65% +/- 15%. Four patients underwent rereplacement of prostheses for Hancock valve failure during 2.9 to 11.3 years (mean 8.2 years). The anulus enlargement was found to be well healed and presented no problem during reoperation. Surgically induced mitral regurgitation by Manouguian's procedure was observed in two patients. The regurgitation did not progress during follow-up duration of 1.9 to 10.0 years, nor did it cause congestive heart failure. Annular enlargement by Manouguian's procedure with use of mechanical valves is one of the good selections in patients with the narrow aortic valve ring.

This article has been cited by other articles:

				T. Sakamoto, G. Matsumura, Y. Kosaka, Y. Iwata, N. Yamamoto, S. Saito, K. Ishihara, and H. Kurosawa Long-term results of Konno procedure for complex left ventricular outflow tract obstruction. Eur. J. Cardiothorac. Surg., July 1, 2008; 34(1): 37 - 41. [Abstract] [Full Text] [PDF]

				H. Okuyama, K. Hashimoto, H. Kurosawa, K. Tanaka, Y. Sakamoto, and K. Shiratori Midterm results of Manouguian double valve replacement: Comparison with standard double valve replacement J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 869 - 874. [Abstract] [Full Text] [PDF]

				R. Tominaga, K. Kurisu, Y. Ochiai, Y. Tomita, M. Masuda, S. Morita, and H. Yasui A 10-Year Experience With the Carbomedics Cardiac Prosthesis Ann. Thorac. Surg., March 1, 2005; 79(3): 784 - 789. [Abstract] [Full Text] [PDF]

				N. Madhu Sankar, S. Rajan, R. K. Kalyan Singh, and K. M. Cherian Enlargement of Small Aortic Annulus by Modified Manouguian's Technique Asian Cardiovasc Thorac Ann, December 1, 1999; 7(4): 282 - 286. [Abstract] [Full Text] [PDF]

				H. Aydogan, H. Akay, G. Orhan, U. Filizcan, N. Kaynarca, O. Yucel, Y. Comertoglu, S. Aykut-Aka, and E. E Eren Early and Midterm Results of Aortic Annular Enlargement Asian Cardiovasc Thorac Ann, September 1, 1999; 7(3): 182 - 185. [Abstract] [Full Text] [PDF]

				R. Vijayanagar, G. Chan, R. Musunuru, N. Sastry, I. Siegman, N. Rattehalli, and M. Cortelli Aortic Valve Replacement Without Annular Enlargement in Patients with Small Aortic Roots Asian Cardiovasc Thorac Ann, December 1, 1998; 6(4): 279 - 284. [Abstract] [Full Text] [PDF]

				K. Imanaka, S. Takamoto, and A. Furuse Mitral regurgitation late after manouguian's anulus enlargement andaortic valve replacement J. Thorac. Cardiovasc. Surg., March 1, 1998; 115(3): 727 - 729. [Full Text]

				U. Bortolotti and H. Mayumi Simplified Technique for Aortic Annular Enlargement During Aortic Valve Replacement Ann. Thorac. Surg., May 1, 1996; 61(5): 1591 - 1592. [Full Text]

				H. Mayumi, Y. Toshima, Y. Kawachi, K. Tokunaga, and H. Yasui Simplified Manouguian's Aortic Annular Enlargement for Aortic Valve Replacement Ann. Thorac. Surg., September 1, 1995; 60(3): 701 - 704. [Abstract] [Full Text]

				D. Rastan Aortic and aortic-mitral annular enlargement J. Thorac. Cardiovasc. Surg., April 1, 1995; 109(4): 818 - 819. [Full Text]

				A. K. Bhutani, K. Dev, C. H. Mallikharjuna Gupta, K. A. Abraham, R. N. Desai, and K. R. Balakrishnan Aortic root enlargement by Manouguian's technique J. Thorac. Cardiovasc. Surg., October 1, 1994; 108(4): 788 - 788. [Full Text]