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

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 pros...

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Bibliographic Details
Published in:Revista brasileira de cirurgia cardiovascular 2002-12, Vol.17 (4), p.355-358
Main Authors: Costa, Mario Gesteira, Vasconcelos e Silva, Frederico P., Menezes, Alexandre Mota de, Lima, Ricardo de Carvalho, Escobar, Mozart, Leão, Antônio Carlos C., Andrade, André Luis, Lucena, Marcos Vinícius F. de
Format: Article
Language:English
Subjects:
Aortic valve
CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiac surgical procedures/methods
Heart valves/surgery
Mitral valve
SURGERY
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Summary: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.
ISSN:0102-7638
1678-9741
0102-7638
1678-9741
DOI:10.1590/S0102-76382002000400012