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The Journal of Thoracic and Cardiovascular Surgery, Vol 105, 435-438, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
MA Sarsam and M Yacoub
Isolated aortic valve regurgitation that results from disease that
primarily affects the aortic wall can be repaired by remodeling of the
aortic anulus to restore its normal geometry. This involves excision of the
aortic wall to within 2 to 3 mm of the leaflet attachments, detachment of
the coronary ostia, reshaping of the anulus with the aid of a Dacron graft,
and then reimplantation of the coronary arteries. Increases in the surface
area of the leaflet that are caused by root dilatation are often present
and can be accommodated in the repair procedure. In this study we describe
our experience with 10 patients with annuloaortic ectasia who underwent the
remodeling procedure at the National Heart Hospital and the Royal Brompton
Hospital from 1982 to 1990.
ARTICLES
Remodeling of the aortic valve anulus
Department of Cardiothoracic Surgery, National Heart Hospital, London, England.
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K. Pethig, A. Milz, C. Hagl, W. Harringer, and A. Haverich Aortic valve reimplantation in ascending aortic aneurysm: risk factors for early valve failure Ann. Thorac. Surg., January 1, 2002; 73(1): 29 - 33. [Abstract] [Full Text] [PDF]
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C. Alexiou, S. M. Langley, P. Charlesworth, M. P. Haw, S. A. Livesey, and J. L. Monro Aortic root replacement in patients with Marfan's syndrome: the Southampton experience Ann. Thorac. Surg., November 1, 2001; 72(5): 1502 - 1507. [Abstract] [Full Text] [PDF]
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K. Kallenbach, K. Pethig, M. Schwarz, A. Milz, A. Haverich, and W. Harringer Valve sparing aortic root reconstruction versus composite replacement - perioperative course and early complications Eur. J. Cardiothorac. Surg., July 1, 2001; 20(1): 77 - 81. [Abstract] [Full Text] [PDF]
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C. Bassano, G. M. De Matteis, P. Nardi, M. M. Buratta, J. Zeitani, R. De Paulis, and L. Chiariello Mid-term follow-up of aortic root remodelling compared to Bentall operation Eur. J. Cardiothorac. Surg., May 1, 2001; 19(5): 601 - 605. [Abstract] [Full Text] [PDF]
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T. P. Graeter, F. Langer, N. |
