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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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