Postoperative Management

Postoperative care is similar to that for any aortic valve replacement. Anticoagulation, if not necessary for other reasons, is limited to daily aspirin (81 mg). The patient is followed, especially looking for murmurs indicating insufficiency. Echocardiography with Doppler is performed prior to discharge for a baseline reading; it is repeated every 6 months for 1 year and then done yearly. Routine prophylaxis for subacute bacterial endocarditis is recommended for all indications, as noted in the

Figure 36.11. Distal suture line buttressed with a Teflon felt strip.
Figure 36.13. Closure of the right ventricular free wall defect completes the reconstruction.

prosthetic heart valve guidelines of the American Heart Association.

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