Midterm results of Manouguian double valve replacement: Comparison with standard double valve replacement  Hiroshi Okuyama, MD, Kazuhiro Hashimoto, MD,

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Midterm results of Manouguian double valve replacement: Comparison with standard double valve replacement  Hiroshi Okuyama, MD, Kazuhiro Hashimoto, MD, Hiromi Kurosawa, MD, Kei Tanaka, MD, Yoshimasa Sakamoto, MD, Kazuaki Shiratori, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 129, Issue 4, Pages 869-874 (April 2005) DOI: 10.1016/j.jtcvs.2004.10.026 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Manouguian annular enlargement. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 869-874DOI: (10.1016/j.jtcvs.2004.10.026) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Survival curve of the Manouguian group and standard DVR group. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 869-874DOI: (10.1016/j.jtcvs.2004.10.026) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Freedom from events in the Manouguian group and standard DVR group. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 869-874DOI: (10.1016/j.jtcvs.2004.10.026) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Transprosthetic pressure gradients examined with dobutamine stress echocardiography. There was no significant difference in the transprosthetic mean pressure gradient at the aortic valve between the 2 groups. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 869-874DOI: (10.1016/j.jtcvs.2004.10.026) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions