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Successful Reconstruction of Aorto‐Left Atrial Fistula Following Aortic Valve Replacement and Root Enlargement by the Manouguian Procedure
Author(s) -
Hachida Mitsuhiro,
Koyanagi Hitoshi,
Hanayama Naoji,
oyama Masaki,
Nakano Kiyoharu
Publication year - 1994
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1994.tb00867.x
Subject(s) - medicine , cardiac skeleton , annulus (botany) , aortic root , fistula , left atrium , aorta , regurgitation (circulation) , surgery , aortic valve replacement , aortic valve , cardiology , stenosis , botany , biology , atrial fibrillation
A bstract Successful reconstruction of the aortic annulus for perivalvular leak following combined valve replacement was performed in two patients, 6 and 7 years postoperatively, using Manouguian's operation. A fistula was seen at the junction of the aortic annulus and the superior or inferior margin of the patch used for enlargement. This fistula was closed from both sides; from the left atrium with reinforced Teflon pledgets and from the aorta using a patch. Successful reconstruction of the aortic annulus was made, and no regurgitation was seen after the operation.