The mitral pulmonary autograft: assessment at midterm

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Presentation transcript:

The mitral pulmonary autograft: assessment at midterm Sami S Kabbani, MD, FACS, Hisham Jamil, MD, Abdo Hammoud, MD, Jawad Abou Hatab, MD, Fawzi Nabhani, MD, Ryad Hariri, MD, Nada Sabbagh, MD, Donald Ross, FRCS The Annals of Thoracic Surgery Volume 78, Issue 1, Pages 60-65 (July 2004) DOI: 10.1016/S0003-4975(03)01657-6

Fig 1 View of the distal end of the pulmonary artery autograft sutured to a Dacron tube. The Annals of Thoracic Surgery 2004 78, 60-65DOI: (10.1016/S0003-4975(03)01657-6)

Fig 2 An operative view of the seated pulmonary artery autograft/Dacron conduit. The Annals of Thoracic Surgery 2004 78, 60-65DOI: (10.1016/S0003-4975(03)01657-6)

Fig 3 Transthoracic color Doppler echocardiogram showing laminar flow through mitral autograft in diastole. (AO = aorta; AUTO = autograft; LA = left atrium; LV = left ventricle; RV = right ventricle.) The Annals of Thoracic Surgery 2004 78, 60-65DOI: (10.1016/S0003-4975(03)01657-6)

Fig 4 Continuous Doppler tracing, calculating mitral valve area by pressure half time method to be 2.6 cm2. The Annals of Thoracic Surgery 2004 78, 60-65DOI: (10.1016/S0003-4975(03)01657-6)

Fig 5 (A) Freedom from mitral stenosis and (B) mitral regurgitation. The Annals of Thoracic Surgery 2004 78, 60-65DOI: (10.1016/S0003-4975(03)01657-6)

Fig 6 Preoperative and postoperative New York Heart Association status. Numbers above bars represent numbers of patients. ■ = preoperative; ▩ = postoperative. The Annals of Thoracic Surgery 2004 78, 60-65DOI: (10.1016/S0003-4975(03)01657-6)

Fig 7 Projected algorithm for mitral valve replacement. (AF = atrial fibrillation.) The Annals of Thoracic Surgery 2004 78, 60-65DOI: (10.1016/S0003-4975(03)01657-6)