A combined transaortic and trans-septal approach with a 'three-patch' technique using bovine pericardium can be utilized for en bloc aortic and mitral valve replacement.
Case Report
Describes a combined transaortic and trans-septal approach using a three-patch technique with bovine pericardium for complex en bloc aortic and mitral valve replacement.
Aortic and mitral valve replacement with division and reconstruction of the inter-valvular fibrous body has been described in clinical situations involving infective endocarditis, extensive annular calcifications and diminutive valve annuli. Herein, we describe a combined transaortic and trans-septal approach with division of the inter-valvular fibrosa for combined aortic and mitral valve replacement. The reconstruction of the inter-valvular fibrous body, atrial walls and aortic root was carried out using a 'three-patch' technique with bovine pericardium.
Hassan et al. (2015) conducted a case report in Infective endocarditis, extensive annular calcifications, and diminutive valve annuli. Combined transaortic and trans-septal approach with division of the inter-valvular fibrosa was evaluated. A combined transaortic and trans-septal approach with a 'three-patch' technique using bovine pericardium can be utilized for en bloc aortic and mitral valve replacement.