By Bradley J. Harlan M.D., Albert Starr M.D., Fredric M. Harwin B.F.A., M.S. (auth.)
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For these reasons we recommend grafting any major coronary arteries that supply viable myocardium and have stenosis of 50% or more of the luminal diameter. Mitra/ regurgitation: Rupture or dysfunction of the papillary muscle is associated with posterior infarction in the distribution of the right coronary artery. 6 •14 Replacement of the mitrat valve can be performed through the ventriculotomy . 14 Surgical Anatomy Approximately 70% of defects are anterior, at or near the apex. 21 Posterior defects are usually more extensive, may extend from the atrioventricular groove to the apex, and do not have as well-defined borders as anterior defects.
Oyer PE, Stinson EB, Reitz BA, Miller DC, Rossiter SJ, Shumway NE: Langterm evaluation of the porcine xenograft bioprosthesis. J Thorac Cardiovasc Surg 78:343, 1979. Pantely G, Morton M, Rahimtoola SH: Effects of successful, uncomplicated valve replacement on ventricular hypertrophy, volume, and performance in aortic stenosis and in aortic incompetence. J Thorac Cardiovasc Surg 75:383, 1978. Parker FB, Thomas FD, Poirier RA, Markowitz AHM, Eich RH: Left ventricular function following aortic valve replacement.
10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. problems in the surgical management of congenital aortic stenosis. J Thorac Cardiovasc Surg 66:404, 1973. Bjork VO, Henze A: Ten years' experience with the Bjork-Shiley tilting disc valve. J Thorac Cardiovasc Surg 78:331, 1979. Blank RH, Pupello DF, Bessone LN, Harrison EE, Sbar S: Method of managing the small aortic annulus during valve replacement. Ann Thorac Surg 22:356, 1976. Bolen JL, Holloway EL, Zener JC, Harrison DC, Alderman EL: Evaluation of left ventricular function in patients with aortic regurgitation using afterload stress.