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AORTIC VALVE–PRESERVING PROCEDURE FOR ENLARGEMENT OF THE LEFT VENTRICULAR OUTFLOW TRACT AND MITRAL ANULUS  Richard A. Jonas, MD, John F. Keane, MD, James.

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Presentation on theme: "AORTIC VALVE–PRESERVING PROCEDURE FOR ENLARGEMENT OF THE LEFT VENTRICULAR OUTFLOW TRACT AND MITRAL ANULUS  Richard A. Jonas, MD, John F. Keane, MD, James."— Presentation transcript:

1 AORTIC VALVE–PRESERVING PROCEDURE FOR ENLARGEMENT OF THE LEFT VENTRICULAR OUTFLOW TRACT AND MITRAL ANULUS  Richard A. Jonas, MD, John F. Keane, MD, James E. Lock, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 115, Issue 5, Pages (May 1998) DOI: /S (98) Copyright © 1998 Mosby, Inc. Terms and Conditions

2 Fig. 1A View of the heart from the right. An incision in the right lateral aspect of the aorta is carried through the commissure between the left and noncoronary cusps of the aortic valve. RA, Right atrium. Fig. 1B. Incision in the roof of left atrium (LA) and atrial septum exposes the mitral anulus. The mitral valve has been excised. Points “a” correspond to the tops of the commissure of the left and noncoronary cusps of aortic valve. LV, Left ventricle. Fig. 1C. Triangular prosthetic patch enlarges the mitralanulus and subaortic area. The mitral valve has been replaced with a mitral prosthesis. The native valve is reconstituted at the apex of the patch (a:a). LA, Left atrium; LV, left ventricle. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Mosby, Inc. Terms and Conditions

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