Combined Manouguian–Guiraudon Approach for Double Valve Replacement: The Commando Revisited

Gamal Marey; Sameh M. Said

doi:10.1016/j.athoracsur.2020.05.149

Combined Manouguian–Guiraudon Approach for Double Valve Replacement: The Commando Revisited

Gamal Marey, Sameh M. Said

Surgery

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3 Scopus citations

Abstract

Double annular enlargement is a valuable technique for the cardiac surgeon, and it should be in his or her armamentarium when dealing with challenging aortic and mitral valve cases. The technique requires reconstruction of the intervalvular fibrosa. It redesigns the inflow and outflow of the left ventricle in a way that serves both annular enlargement and satisfactory valve replacement with resulting low gradients. Here, we describe our preferred operative steps.

Original language	English (US)
Pages (from-to)	e139-e141
Journal	Annals of Thoracic Surgery
Volume	111
Issue number	2
DOIs	https://doi.org/10.1016/j.athoracsur.2020.05.149
State	Published - Feb 2021

Bibliographical note

Funding Information:
The authors wish to thank Mr Michael King, Senior Medical Illustrator, Mayo Clinic, Rochester, Minnesota.

Publisher Copyright:
© 2021 The Society of Thoracic Surgeons

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

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Combined Manouguian–Guiraudon Approach for Double Valve Replacement: The Commando Revisited

Abstract

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