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Journal of Cardiothoracic Surgery

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Open Access 01-12-2018 | Case report

Hegar–based method for aortic valve replacement in multiple valve surgery

Authors: Marco Gennari, Marco Agrifoglio, Gabriella Ricciardi, Gianluca Polvani

Published in: Journal of Cardiothoracic Surgery | Issue 1/2018

Abstract

Background

Small aortic annuli are a challenge and a proper valve size is needed to avoid important prosthesis-patient mismatch, especially in case of multiple valves surgery.

Case presentation

We proposed a technique involving the use of Hegar dilators in the aortic position while replacing the mitral valve, in order to maintain the proper aortic diameter. We used this method on two patients and we found it easy and reproducible.

Conclusions

We report neither operative nor postoperative complications.

Zogheib E, Lorne E, Nader J, Duveaub D, et al. Long term results of bivalvular mechanical replacement. A historical thirty year follow-up. Int J Cardiol. 2015;185:290–2.CrossRefPubMed

Calafiore AM, Iacoa AL, Shahb A, Di Mauroc M. Modified surgical sequence in aortic and mitral valve replacement with or without tricuspid valve repair or replacement. Eur J Cardiothorac Surg. 2014;46(6):e139–40.CrossRefPubMed

Title: Hegar–based method for aortic valve replacement in multiple valve surgery
Authors: Marco Gennari
Marco Agrifoglio
Gabriella Ricciardi
Gianluca Polvani
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2018
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-018-0723-8

At a glance: The STEP trials

Springer Medicine

Hegar–based method for aortic valve replacement in multiple valve surgery

Abstract

Background

Case presentation

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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