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Total aortic valve and ascending aortic substitution with bovine pericardium valvar tube

The authors make a revision in the techniques for aortic aneurysm surgery with aortic valve lesion. They shown the results with 11 patients operated by BENTALL and DE BONO techniques with an open bovine pericardium IMC tubular and valvular graft without dead due to technic or due to the graft utilized. 8 patients, were male, age between 31-65 years old (mean 50) 3 were female, age between 20-53 (mean 38); two surgeries were made in urgency and 9 in emergency. Two patients have associated mitral lesion associated with valvar change by IMC biological prosthesis. Just one patient needed a saphenous vein graft to right coronary artery because there was lesion in its ostium. The histopatologic showed mixomatosis degeneration in 4 cases, fibroses in 4, reumatic disease in 2, and pancarditis in 1. After discourse about the methods complications and difficulties, we deduced that the thecnique employed is the choice from the treatment of this disease and pericardium valvar bovine graft turns the surgery more easy because it is flexible and hemostatic and doesn't need an hemostatic preparation before implantation.

ascending aorta; aortic valve; valvar tube graft


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