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  • Title: Concomitant Aortic Root Replacement With Anterior Konno Annular Enlargement.
    Author: Kogon BE.
    Journal: World J Pediatr Congenit Heart Surg; 2020 Sep; 11(5):630-635. PubMed ID: 32853063.
    Abstract:
    The need for concomitant aortic annular enlargement and aortic root replacement may be necessary in situations of multilevel left ventricular outflow tract obstruction and/or prior aortic or aortic valve surgery, particularly in the setting of congenital heart disease. It can be extremely tedious and fraught with numerous complications. Major challenges include bleeding in difficult-to-reach areas and the potential need for subsequent operations. This article describes a technique of concomitant aortic annular enlargement and aortic root replacement that minimizes the risk of significant blood loss and facilitates future surgery should it be necessary.
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