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Asian Cardiovasc Thorac Ann 2002;10:326-328
© 2002 Asia Publishing EXchange Pte Ltd


ORIGINAL CONTRIBUTION

Combined Valve Operations with Transection of Ascending Aorta

Wang Wen Lin, MD, Cai Kai Can, MD1, Wang Wu Jun, MD1

Department of Cardiac Surgery Guangzhou General Military Hospital Guangzhou, Guangdong People’s Republic of China
1 Department of Cardiac Surgery Nanfang Hospital First Military Medical University Guangzhou, Guangdong People’s Republic of China
For reprint information contact: Wang Wen Lin, MD Tel: 86 20 3622 4967 Fax: 86 20 3622 2315 email: willine{at}263.net Department of Cardiac Surgery, Guangzhou General Military Hospital, No. 111 Liuhua Road, Guangzhou, Guangdong 510010, People’s Republic of China.
To facilitate combined aortic and mitral valve operations, a new approach was developed. It was employed in 50 patients with both aortic and mitral valve disease. The ascending aorta was transected 1.5 cm above the aortic annulus, and the roof of the left atrium was incised. The damaged valves were replaced or repaired. Both aortic and mitral valves could be exposed satisfactorily by this approach. All patients recovered smoothly after the operation. Complications comprised intraoperative bleeding from the distal end of the ascending aorta in 1 patient and hoarseness in 3 postoperatively. The approach was considered quick and easy for combined valve operations.







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