Gennari M, Agrifoglio M, Ricciardi G, Polvani G. Hegar-based method for aortic valve replacement in multiple valve surgery.
J Cardiothorac Surg 2018;
13:49. [PMID:
29783996 PMCID:
PMC5963182 DOI:
10.1186/s13019-018-0723-8]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Accepted: 04/27/2018] [Indexed: 11/26/2022] Open
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.
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