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Cardiovasc Dis. 1979 September; 6(3): 335–341. | PMCID: PMC287804 |
CREATION OF A SECONDARY VENTRICULAR OUTLET TO REVERSE HEMOLYSIS AFTER AORTIC VALVE REPLACEMENT David A. Ott, M.D., Denton A. Cooley, M.D., and John C. Norman, M.D. Division of Surgery of the Texas Heart Institute, St. Luke's Episcopal and Texas Children's Hospitals, Houston, Texas. Abstract A 66-year-old woman developed severe hemolysis after undergoing aortic valve replacement. A diminutive annulus and extensive calcification of the aorta precluded further surgery of the aortic root. Hemolysis was completely reversed by the implantation of a woven Dacron apicoabdominal aortic conduit incorporating a Cooley-Cutter prosthetic valve. Fractionation of stroke volume by means of a second ventricular outlet can reduce shear stresses and turbulence associated with unfavorable hemodynamic conditions, thereby successfully correcting hemolysis. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.4M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. Images in this article Click on the image to see a larger version. These references are in PubMed. This may not be the complete list of references from this article. - Brodeur MT, Sutherland DW, Koler RD, Starr A, Kimsey JA, Griswold HE. Red blood cell survival in patients with aortic valvular disease and ball-valve prostheses. Circulation. 1965 Oct;32(4):570–581. [PubMed]
- Nitter-Hauge S, Sommerfelt C, Hall KV, Fröysaker T, Efskind L. Chronic intravascular haemolysis after aortic disc valve replacement. Comparative study between Lillehei-Kaster and Björk-Shiley disc valve prostheses. Br Heart J. 1974 Aug;36(8):781–785. [PubMed]
- Nevaril CG, Lynch EC, Alfrey CP, Jr, Hellums JD. Erythrocyte damage and destruction induced by shearing stress. J Lab Clin Med. 1968 May;71(5):784–790. [PubMed]
- Ott David A, Cooley Denton A, Norman John C, Sandiford Frank M. DELAYED STERNAL CLOSURE: A USEFUL TECHNIQUE TO PREVENT TAMPONADE OR COMPRESSION OF THE HEART. Cardiovasc Dis. 1978 Mar;5(1):15–18. [PubMed]
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- Bernhard WF, Poirier V, LaFarge CG. Relief of congenital obstruction to left ventricular outflow with a ventricular-arotic prosthesis. J Thorac Cardiovasc Surg. 1975 Feb;69(2):223–229. [PubMed]
- Cooley DA, Norman JC, Reul GJ, Jr, Kidd JN, Nihill MR. Surgical treatment of left ventricular outflow tract obstruction with apicoaortic valved conduit. Surgery. 1976 Dec;80(6):674–680. [PubMed]
- Cooley DA, Norman JC. Severe intravascular hemolysis after aortic valve replacement: reversal by left ventricular apico-abdominal aortic composite conduit. J Thorac Cardiovasc Surg. 1977 Aug;74(2):322–324. [PubMed]
- Norman JC, Nihill MR, Cooley DA. Creation of double-outlet left ventricles for left ventricular outflow obstructions: initial clinical results in six patients. Trans Am Soc Artif Intern Organs. 1976;22:332–340. [PubMed]
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