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J Thorac Cardiovasc Surg 1994;107:1334-1336
© 1994 Mosby, Inc.

SURGERY FOR ACQUIRED HEART DISEASE

Mitral valve replacement through the aortic root

Chicago, Ill.

From the Department of Cardiovascular-Thoracic Surgery, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center, Rush Heart Institute, Chicago, Ill.

Received for publication Aug. 17, 1993. Accepted for publication Oct. 17, 1993. Address for reprints: Hassan Najafi, MD, Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, 1653 W. Congress Parkway, 714 Jelke, Chicago, IL 60612.

Abstract

This report discusses the case histories of two patients who had had previous cardiac operations and required extensive reoperations including mitral valve replacement. In both patients the replacement of the mitral valve was performed through the aortic root. This rare approach to the mitral valve, conducted with remarkable facility in these patients, encourages more liberal use of transaortic mitral valve operations in selected patients. (J THORACCARDIOVASCSURG1994;107:1334-6)

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