Mitral-aortic annular enlargement: modification of Manouguian's technique

• Autor(a) principal: Costa,Mario Gesteira
• Data de Publicação: 2002
• Outros Autores: Vasconcelos e Silva,Frederico P., Menezes,Alexandre Mota de, Lima,Ricardo de Carvalho, Escobar,Mozart, Leão,Antônio Carlos C., Andrade,André Luis, Lucena,Marcos Vinícius F. de
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382002000400012
• topic: Cardiac surgical procedures/methods; Heart valves/surgery; Aortic valve; Mitral valve

We hereby present a technical modification for mitral-aortic annular enlargement. The mitral valve is replaced through the retro-septal approach, avoiding patches for left atrial roof closure. We report a mitral-aortic valve replacement in a patient whose original annuli would preclude adequate prostheses. The simultaneous annular enlargement may be necessary for avoiding patient-prosthesis mismatch and for reconstructing destroyed mitral and aortic annuli. The technique may minimize the risk of bleeding and of paravalvular leakage, using an approach well known to cardiac surgeons.