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The Journal of Thoracic and Cardiovascular Surgery, Vol 93, 19-26, Copyright © 1987 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Clinical experience with stentless pericardial aortic monopatch for aortic valve replacement

RJ Vilela Batista, A Dobrianskij, M Comazzi Jr, LT Lessa Neto, G Rocha, F Sartori, R Westphal, JR Timi, R Moreira and PF Oliveira

A stentless pericardial aortic monopatch was used in 60 consecutive patients undergoing aortic valve replacement. The monopatch is constructed of a sheet of glutaraldehyde-treated bovine pericardium, tailored and shaped to fit the aortic anulus, and is sutured in place without a stent or sewing ring. The valve area is effectively preserved by this method. Results indicate that this technique is simple, inexpensive, and applicable to all cases of aortic valve disease. It does not require anticoagulation and may allow for annular growth when used in children. This technique is particularly suitable for patients with infective endocarditis because the amount of foreign material is minimized.

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