title: CREATION OF A SECONDARY VENTRICULAR OUTLET TO REVERSE HEMOLYSIS AFTER AORTIC VALVE REPLACEMENT.
abstract: A 66-year-old woman developed severe hemolysis after undergoing aortic valve replacement. A diminutive annulus and extensive calcification of the aorta precluded further surgery of the aortic root. Hemolysis was completely reversed by the implantation of a woven Dacron apicoabdominal aortic conduit incorporating a Cooley-Cutter prosthetic valve. Fractionation of stroke volume by means of a second ventricular outlet can reduce shear stresses and turbulence associated with unfavorable hemodynamic conditions, thereby successfully correcting hemolysis.
authors.affiliation: Division of Surgery of the Texas Heart Institute, St. Luke's Episcopal and Texas Children's Hospitals, Houston, Texas.
authors.forename: David A.
authors.initials: DA
authors.lastname: Ott
authors.forename: Denton A.
authors.initials: DA
authors.lastname: Cooley
authors.forename: John C.
authors.initials: JC
authors.lastname: Norman