Apico-aortic valved conduit as an alternative for aortic valve re-replacement in severe prosthesis-patient mismatch

Department of Cardio-thoracic Surgery, Hotel Dieu de France Hospital, Alfred Naccache Street, Beirut, Lebanon *Corresponding author. Tel.: +961-1-615300; fax: +961-1-615295. E-mail address : jamilhajjchahine{at}yahoo.fr (J. Hajj Chahine). Off-pump implantation of an apico-aortic bioprothesis-valved conduit in a 75-year-old female symptomatic patient with severe prosthesis–patient mismatch secondary to a previous aortic valve replacement, calcified ascending aorta, tight adhesion with the sternum, was successfully conducted to relieve the left ventricle from severe aortic stenosis. Key Words: Aortic stenosis; Apico-aortic conduit; Prosthesis–patient mismatch