title: Mitral valve replacement through dilated aortic annulus in Marfan's syndrome.
abstract: A 30-year-old man presented with severe aortic regurgitation due to an ascending aortic aneurysm and mitral valve insufficiency in conjunction with active endocarditis. He underwent combined aortic root replacement by a composite graft and mechanical mitral valve replacement. After excision of the aortic valve cusps the mitral valve was approached through the extremely dilated aortic annulus. This technique is seldom used. Mitral valve replacement through the aortic root can be advantageous in selected patients to minimize trauma and reduce myocardial ischemic time.
authors.affiliation: Klinik fur Thorax- und Herz- und Gefasschirurgie, "Georg-August" University Göttingen, Robert Koch Strasse 40, D-37075 Göttingen, Germany.
authors.forename: H
authors.initials: H
authors.lastname: Sirbu
authors.forename: T
authors.initials: T
authors.lastname: Busch
authors.forename: I
authors.initials: I
authors.lastname: Aleksic
authors.forename: H
authors.initials: H
authors.lastname: Dalichau
mesh_terms: D000328:Adult; D001011:Aorta / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications; D001021:Aortic Valve / Q000473:pathology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D004108:Dilatation, Pathologic; D004696:Endocarditis / Q000150:complications / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000601:surgery*; D008943:Mitral Valve / Q000601:surgery*