ID Design 2012/DOOEL Skopje, Republic of
Macedonia
Open Access Macedonian Journal of Medical Sciences.
http://dx.doi.org/10.3889/oamjms.2016.098
eISSN: 1857-9655
Case Report |
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Aortic Annular Enlargement
during Aortic Valve Replacement
Selman Dumani*, Ermal Likaj, Laureta Dibra, Stavri Llazo,
Ali Refatllari
University Hospital Center ”Mother Theresa”, Tirana, Albania
In the surgery of aortic valve replacement is always attempted, as much as
possible, to implant the larger prosthesis with the mains goals to enhance
the potential benefits, to minimise transvalvular gradient, decrease left
ventricular size and avoid the phenomenon of patient-prosthesis mismatch.
Implantation of an ideal prosthesis often it is not possible, due to a small
aortic annulus. A variety of aortic annulus enlargement techniques is
reported to avoid patient-prosthesis mismatch. We present the case that has
submitted four three times open heart surgery. We used Manouguian technique
to enlarge aortic anulus with excellent results during the fourth time of
surgery.
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Citation: Dumani S, Likaj E, Dibra L, Llazo S,
Refatllari A. Aortic Annular Enlargement during Aortic Valve Replacement.
Open Access Maced J Med Sci. http://dx.doi.org/10.3889/oamjms.2016.098
Keywords: AAE-aortic annulus enlargement; Manouguian technique;
PPM-patient - prosthesis mismatch; AVR-aortic valve replacement; iEOA-indexed
effective orifice area.
*Correspondence: Selman Dumani. University Hospital Center ”Mother
Theresa”, Tirana, Albania. E-mail: selmandumani@yahoo.co.uk
Received: 04-Aug-2016; Revised: 20-Aug-2016; Accepted: 24-Aug-2016; Online
first: 02-Sep-2016
Copyright: © 2016 Selman Dumani, Ermal Likaj, Laureta Dibra, Stavri
Llazo, Ali Refatllari.
This is an open access article distributed under the terms of the Creative
Commons Attribution License, which permits unrestricted use, distribution,
and reproduction in any medium, provided the original author and source are
credited.
Competing Interests: The authors have declared that no competing
interests exist.
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Dumani S
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Likaj E
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Dibra L
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Llazo S
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Refatllari A
PubMed
- Dumani S
- Likaj E
- Dibra L
- Llazo S
- Refatllari A
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