PMC5501880_01
Totally detached valved conduit with empty aortic ring; LV: left ventricle, IVS: interventricular septum, LA: left atrium, MV: mechanical valve, VP: vascular prosthesis, PS: pseudoaneurysm.
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The distance between the original aortic annulus and the detached mechanical valved composite was approximately 20 mm (Fig. 1).
Operative seen; AR: empty aortic ring, MV: mechanical valve, VP: vascular prosthesis, PSW: pseudoaneurysmal wall.
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The aortic annulus was empty (Fig. 2).
LVOT elongation with a new short vascular prosthesis; AR: aortic ring, MV: mechanical valve, nVP: new vascular prosthesis.
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Echocardiographic studies revealed no significant pressure gradient at the level of the supra annular mechanical valve and no kinking of the vascular graft sewed to the aortic ring (Fig. 3).