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Updated: Aug 10, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Mitral valve replacement with homograft and Maze III procedure
D B Doty1, K A Dilip, R C Millar
1Department of Surgery, LDS Hospital, Salt Lake City, Utah 84103, USA. ldddoty@ihc.com
Background:
Mitral valve disease is often accompanied by atrial fibrillation, which may compromise the patient even after the valvular lesion has been repaired.
Methods:
Three patients with rheumatic type mitral valve disease and chronic atrial fibrillation were treated by mitral valve replacement with cryopreserved mitral valve homograft and Maze III procedure, as a method to relieve both the valvular pathology and the rhythm disorder. The patients' clinical courses have been followed for up to 1 year after operation.
Results:
All patients survived operation, and all have normal sinus rhythm. None are taking cardiac medications.
Conclusions:
Long-term treatment with warfarin should not be required, and other cardiac medicines may be eliminated following mitral valve replacement with homograft combined with Maze III procedure.
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