Reverse "U" aortotomy for aortic valve replacement after previous coronary artery bypass grafting |
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Authors: | Kirali Kaan Goksedef Deniz Yakut Cevat |
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Affiliation: | Department of Cardiovascular Surgery, Ko?uyolu Heart and Research Hospital, Istanbul, Turkey. imkkirali@yahoo.com |
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Abstract: | The presence of patent vein grafts on the proximal aorta may give technical difficulties during exposure to aortic valve replacement after previous coronary artery bypass operations. A tongue or reverse "U" shape aortotomy allows excellent exposure of the aortic valve and antegrade cardioplegic administration without mobilizing vein grafts. This approach may facilitate uni- or bidirectional aortic root enlargement in patients with small aortic root. |
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