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Hypoplasia of the aortic root
  1. Rowan Nicks,
  2. T. Cartmill,
  3. L. Bernstein
  1. Department of Cardio-thoracic Surgery and the Hallstrom Institute of Cardiology, the Royal Prince Alfred Hospital, Sydney

    The problem of aortic valve replacement


    We report a technique for the enlargement of a hypoplastic aortic root by an operation whereby the hypoplastic aortic root has been so enlarged by the insertion of a Dacron fabric gusset that it will accommodate a size 9A or larger Starr-Edwards prosthesis. Our experience in five patients is described. No matter what type of valve is used for replacement of a diseased aortic valve, and no matter what improved designs of valvular prosthesis are ultimately developed, it will be necessary (in the particular group described) to enlarge the aortic ring to accommodate a size which will function correctly without causing left ventricular outflow obstruction.

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    • 1 Delivered to the Scientific Meeting of the Australian and New Zealand Society of Cardiology, June 1969, in Brisbane