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Tirone E. David, MD, James Kuo, MD, Susan Armstrong, MSc 

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Presentation on theme: "Tirone E. David, MD, James Kuo, MD, Susan Armstrong, MSc "— Presentation transcript:

1 Aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body 
Tirone E. David, MD, James Kuo, MD, Susan Armstrong, MSc  The Journal of Thoracic and Cardiovascular Surgery  Volume 114, Issue 5, Pages (November 1997) DOI: /S (97) Copyright © 1997 Mosby, Inc. Terms and Conditions

2 Fig. 1 An oblique aortotomy is extended into the mitral anulus and dome of the left atrium. The aortic and mitral valves are excised. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

3 Fig. 2 A properly tailored patch is used to reconstruct the intervalvular fibrous body. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

4 Fig. 3 A mitral valve prosthesis is secured to the mitral anulus posteriorly and to the patch superiorly. A separate patch is used to close the left atriotomy. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

5 Fig. 4 An aortic valve prosthesis is secured to the aortic anulus and patch. The patch is used to close the right side of the aortotomy. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

6 Fig. 5 Technique used to reconstruct the entire mitral anulus and the intervalvular fibrous body. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

7 Fig. 6 Actuarial survival.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (97) ) Copyright © 1997 Mosby, Inc. Terms and Conditions

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