Extended aortic root replacement with pulmonary autografts.
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.
Daenen
W
W
Department of Cardiac Surgery, University Hospital Gasthuisberg, Leuven, Belgium.
Gewillig
M
M
D000293:Adolescent; D001020:Aortic Stenosis, Subvalvular / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D004452:Echocardiography; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011664:Pulmonary Valve / Q000000981:diagnostic imaging / Q000637:transplantation*; D012086:Reoperation; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*