title: En bloc aortic and mitral valve replacement and left ventricular outflow tract enlargement using a combined transaortic and trans-septal atrial approach.
abstract: Aortic and mitral valve replacement with division and reconstruction of the inter-valvular fibrous body has been described in clinical situations involving infective endocarditis, extensive annular calcifications and diminutive valve annuli. Herein, we describe a combined transaortic and trans-septal approach with division of the inter-valvular fibrosa for combined aortic and mitral valve replacement. The reconstruction of the inter-valvular fibrous body, atrial walls and aortic root was carried out using a 'three-patch' technique with bovine pericardium.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of New Mexico Health Science Center, Albuquerque, NM, USA mhassan@salud.unm.edu.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Hassan
authors.affiliation: Department of Anesthesiology, University of New Mexico Health Science Center, Albuquerque, NM, USA.
authors.forename: Jimmy
authors.initials: J
authors.lastname: Windsor
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of New Mexico Health Science Center, Albuquerque, NM, USA.
authors.forename: Marco
authors.initials: M
authors.lastname: Ricci
mesh_terms: D001011:Aorta / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006346:Heart Septum / Q000601:surgery; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D008943:Mitral Valve / Q000601:surgery; D010496:Pericardium / Q000637:transplantation; D016896:Treatment Outcome; D014694:Ventricular Outflow Obstruction / Q000150:complications / Q000601:surgery*
keywords: Aortic root; Aortic valve replacement; Mitral valve replacement