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1 Department of Thoracic Surgery, Deborah Hospital, Browns Mills, New Jersey
Three patients with calcific aortic valvular disease associated with complete heart block underwent total aortic valve replacement. Special cannulations and post-perfusion venting of the left heart, limited mobilization of the heart during surgery and preoperative pacing with a transvenous electrode were used to advantage. These surgical maneuvers were adapted to the individual situation and varied according to the timing and type of pacemaker implantation.
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