Extended aortic root replacement with pulmonary autografts: experience in 14 cases - PubMed
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Ann Thorac Surg
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. 1995 Aug;60(2 Suppl):S180-3; discussion S184.
doi: 10.1016/0003-4975(95)00245-g.
Extended aortic root replacement with pulmonary autografts: experience in 14 cases
W J Daenen 
1
, M A Vanhove, M H Gewillig
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1 Department of Cardiac Surgery, Gasthuisberg University Hospital, Leuven, Belgium.
PMID:
7646155
DOI:
10.1016/0003-4975(95)00245-g
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Extended aortic root replacement with pulmonary autografts: experience in 14 cases
W J Daenen et al.
Ann Thorac Surg.
1995 Aug.
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. 1995 Aug;60(2 Suppl):S180-3; discussion S184.
doi: 10.1016/0003-4975(95)00245-g.
Authors
W J Daenen 
1
, M A Vanhove, M H Gewillig
Affiliation
1 Department of Cardiac Surgery, Gasthuisberg University Hospital, Leuven, Belgium.
PMID:
7646155
DOI:
10.1016/0003-4975(95)00245-g
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The surgical relief of complex multilevel left ventricular outflow tract obstruction remains a challenging problem. We present a new operation that combines the concepts of aortoventriculoplasty, extended aortic root replacement, and the use of a pulmonary autograft. Fourteen patients underwent this operation: 9 patients after previous attempts to relieve diffuse subvalvular stenosis and 5 patients who had excessive gradients over an outgrown aortic valve prosthesis. All patients except 1 survived the operation. Complete heart block developed in 1 patient after a septal infarction. One patient remained in congestive heart failure and died suddenly after 17 months. All other patients are in New York Heart Association class I after a mean follow-up of 20 +/- 12 months. All patients showed excellent function of the autograft and homograft valve at follow-up. This operation might present a more durable or even a definitive solution in the management of these complex left ventricular outflow tract obstructions.
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Transplantation, Autologous / methods
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