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European Journal of Cardio-Thoracic Surgery, Vol 7, 42-46, Copyright © 1993 by European Association for Cardio-thoracic Surgery

ARTICLES

Extended aortic root replacement with pulmonary autografts

W Daenen and M Gewillig
Department of Cardiac Surgery, University Hospital Gasthuisberg, Leuven, Belgium.

The surgical relief of complex multilevel left ventricular outflow tract obstruction remains a challenging surgical problem. We present a new operation which combines the concepts of aortoventriculoplasty, extended aortic root replacement and the use of a pulmonary autograft. Four patients underwent this operation without mortality and morbidity. All patients were in sinus rhythm and showed excellent function of the autograft valve at early follow-up. This operation might present a more durable or even a definitive solution in the management of complex left ventricular outflow tract obstructions.

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