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December 1969

Narrow Aortic Root Complicating Aortic Valve Replacement

Author Affiliations

From the Division of Surgery, Presbyterian-St. Luke's Hospital and the University of Illinois College of Medicine, Chicago.

Arch Surg. 1969;99(6):690-694. doi:10.1001/archsurg.1969.01340180014003

Not infrequently, the replacement of the aortic valve is complicated by significant narrowing of the aortic root, particularly the segment between the valve annulus and the commissural attachments. This anatomical variation causes not only technical difficulties, but mortality1,2 and certain postoperative complications and, therefore, deserves special attention. In the past four years we have encountered the association of aortic valve disease and significantly small aortic root in 11 patients, requiring aortic valve replacement. The review of the records of these patients forms the basis for this report (Table 1).

Materials and Results  Of the 11 patients under consideration, four were men and seven were women. Their ages ranged from 23 to 64 years with a mean of 47 years. All patients had calcific aortic stenosis and two, in addition, had mitral valve disease requiring surgical intervention. The majority were in cardiac decompensation and of these, two were in intractable

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