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KMID : 0364019950280070704
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 7 p.704 ~ p.707
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Aortic Root Replacement iwht Pulmanary Autograft in Patient with Subaortic Abscess and False Aneurysm in Left Ventricular Outflow Tract -Report of A Case-
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장병철
이흥렬/유경종/윤양구/김시호
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Abstract
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The use of the patient's pulmonary valve for replacement of the patient's diseased aortic valve was introduced and developed by Mr. Donald Ross. The long term benefits of having a normal, fully viable, trileaflet semilunar valve in aortic
position
was
demonstrated.
A 38 year old male had histories of failures of previously implanted aortic prosthetic valves twice and evidence of progressive heart failure. At operation, aortic root abscess was found ; the abscess extension to adjacent structures and partial
valve
dehiscence had occurred. The patient underwent replacement of the aortic root with autologous pulmonary valve, autologous pericardial patch repair of left ventricular outflow tract and recontruction of the right ventricular outflow tract and
pulmonary
artery with prosthetic valved conduit. Postoperatively, the patient recovered well. Postoperative doppler echocardiography demonstrated minimal central rgurgitation in new aortic valve.
Aortic root replacement with pulmonary autograft in a patient of recurrent aortic root abscess and false aneurysm of left ventricuar outflow tract was experienced and reported with follow up echocardiography.
(Korean J Thorac Cardiovasc Surg 1995;28:704-7)
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