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  • 标题:Aortic Root Enlargement In Case of Double Valve Replacement
  • 本地全文:下载
  • 作者:Mahbub Ahsan ; Lutfar Rahman ; ASM Shariful Islam
  • 期刊名称:KYAMC Journal
  • 印刷版ISSN:2308-2860
  • 出版年度:2020
  • 卷号:11
  • 期号:2
  • 页码:108-110
  • DOI:10.3329/kyamcj.v11i2.48426
  • 出版社:Khwaja Yunus Ali Medical College and Hospital
  • 摘要:Rheumatic valvular heart disease is quite common in Bangladesh. It affects most commonly mitral and aortic valve. As a result of annular fibrosis, aortic root become smaller in some patients. So, if smaller prosthesis is implanted, there is gross patient prosthesis mismatch (PPM), poor LV regression, increase overload, and ultimately low survival rate. Its' to report our experience in aortic root enlargement in case of double valve replacement where a patient of severe mitral stenosis and aortic regurgitation with small aortic annulus requiring aortic root enlargement (ARE).Weaning from Cardiopulmonary bypass (CPB) was uneventful, perioperative and post operative period was satisfactory. Post-operative echocardiography revealed normally functioning prosthesis. In case of small aortic root, aortic root enlargement (ARE) can be safely done by double valve replacement to overcome the prosthetic patient mismatch (PPM).
  • 关键词:Patient prosthetic mismatch;Aortic root enlargement.
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