%0 Journal Article
%T Mitral-aortic annular enlargement: modification of Manouguian's technique
%A Costa Mario Gesteira
%A Vasconcelos e Silva Frederico P.
%A Menezes Alexandre Mota de
%A Lima Ricardo de Carvalho
%J Revista Brasileira de Cirurgia Cardiovascular
%D 2002
%I Sociedade Brasileira de Cirurgia Cardiovascular
%X We hereby present a technical modification for mitral-aortic annular enlargement. The mitral valve is replaced through the retro-septal approach, avoiding patches for left atrial roof closure. We report a mitral-aortic valve replacement in a patient whose original annuli would preclude adequate prostheses. The simultaneous annular enlargement may be necessary for avoiding patient-prosthesis mismatch and for reconstructing destroyed mitral and aortic annuli. The technique may minimize the risk of bleeding and of paravalvular leakage, using an approach well known to cardiac surgeons.
%K Cardiac surgical procedures/methods
%K Heart valves/surgery
%K Aortic valve
%K Mitral valve
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382002000400012