Combined valve operations with transection of ascending aorta.
To facilitate combined aortic and mitral valve operations, a new approach was developed. It was employed in 50 patients with both aortic and mitral valve disease. The ascending aorta was transected 1.5 cm above the aortic annulus, and the roof of the left atrium was incised. The damaged valves were replaced or repaired. Both aortic and mitral valves could be exposed satisfactorily by this approach. All patients recovered smoothly after the operation. Complications comprised intraoperative bleeding from the distal end of the ascending aorta in 1 patient and hoarseness in 3 postoperatively. The approach was considered quick and easy for combined valve operations.
Wang
Wen Lin
WL
Department of Cardiac Surgery, Guangzhou General Military Hospital, No. 111 Liuhua Road, Guangzhou, Guangdong 510010, People's Republic of China. willine@263.net
Cai
Kai Can
KC
Wang
Wu Jun
WJ
D000328:Adult; D000368:Aged; D001011:Aorta / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications; D011897:Random Allocation; D013536:Suture Techniques / Q000009:adverse effects