• J Card Surg · May 2005

    Case Reports

    Reverse "U" aortotomy for aortic valve replacement after previous coronary artery bypass grafting.

    • Kaan Kirali, Deniz Goksedef, and Cevat Yakut.
    • Department of Cardiovascular Surgery, Koşuyolu Heart and Research Hospital, Istanbul, Turkey. imkkirali@yahoo.com
    • J Card Surg. 2005 May 1;20(3):269-70.

    AbstractThe presence of patent vein grafts on the proximal aorta may give technical difficulties during exposure to aortic valve replacement after previous coronary artery bypass operations. A tongue or reverse "U" shape aortotomy allows excellent exposure of the aortic valve and antegrade cardioplegic administration without mobilizing vein grafts. This approach may facilitate uni- or bidirectional aortic root enlargement in patients with small aortic root.

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