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Reverse “U”Aortotomy for Aortic Valve Replacement After Previous Coronary Artery Bypass Grafting
Author(s) -
Kirali Kaan,
Goksedef Deniz,
Yakut Cevat
Publication year - 2005
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.1540-8191.2005.200452.x
Subject(s) - medicine , aortic root , cardiology , aortic valve replacement , artery , aorta , bypass grafting , aortic valve , vein , stenosis
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.