A 35-year old female patient underwent a double valve replacement. The operative findings revealed a small aortic annulus (about 17 mm in diameter). In order to implant the adequate-size prosthetic valve, the aortic and mitral annulus were enlarged using the technique described by Rastan and Manouguian. The annulus were enlarged with a patch of gel-sealed dacron graft. After the enlargement, the prosthetic valve No. 23A and 31M could be implanted in the aortic and mitral annulus, respectively. This is an effective technique to enlarge the aortic and mitral annulus in a double valve replacement procedure. The annular diameter could be increased approximately 30 per cent.

Annulus (botany)

Cardiac skeleton

Mitral annulus

Mitral valve replacement

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Citations (2)

Results of Superior Vena Cava-to-Pulmonary Artery Shunt in the Treatment of Cyanotic Heart Disease

The Annals of Thoracic Surgery (1971)

Prinya Sakiyalak Jay L. Ankeney Jerome Liebman James DeMeules

Vena cava

10.1016/s0003-4975(10)65799-2

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Citations (14)

Echocardiographic diagnosis of a ruptured aneurysm of the sinus of Valsalva: operation without catheterisation in seven patients.

Heart (1990)

Y Sahasakul P Panchavinnin S Chaithiraphan Prinya Sakiyalak

A ruptured aneurysm of the sinus of Valsalva was diagnosed by Doppler, colour, and cross sectional echocardiography in a consecutive series of seven patients. The diagnoses were confirmed at operation without cardiac catheterisation. Examination by pulsed and continuous Doppler echocardiography showed continuous turbulence in six patients with aneurysms rupturing into the right ventricular outflow tract and in the patient with rupture of an aneurysm of the non-coronary sinus into the right atrium. Colour Doppler echocardiography showed turbulent flow across the defects in all seven patients. A ventricular septal defect with aortic regurgitation was detected in one patient and an associated ventricular septal defect in another. Doppler, colour, and cross sectional echocardiography were useful non-invasive techniques for diagnosing a ruptured aneurysm of the sinus of Valsalva without the need for cardiac catheterisation.

Sinus (botany)

Ventricular outflow tract

Cardiac catheterisation

Cardiac catheterization

10.1136/hrt.64.3.195

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Citations (29)

Bronchoesophageal Fistula

Asian Cardiovascular and Thoracic Annals (1995)

Prinya Sakiyalak

10.1177/021849239500300414

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Citations (0)

Esophageal obstruction due to saccular aneurysm of the distal thoracic aorta

Journal of Thoracic and Cardiovascular Surgery (1972)

Prinya Sakiyalak Errol M. Bellon P David Jay L. Ankeney

Saccular aneurysm

Thoracic aorta

10.1016/s0022-5223(19)39827-7

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Citations (15)

Endoscopic diagnosis of secondary aortoesophageal fistula

Endoscopy (2008)

Thawatchai Akaraviputh Tassanee Sriprayoon Varayu Prachayakul Prinya Sakiyalak

Secondary aortoesophageal fistula (AEF) is a catastrophic complication of endovascular graft placement [1]. The typical symptom of secondary AEF is massive gastrointestinal bleeding with a history of thoracic aortic aneurysm repair [2]. Endoscopy is the most sensitive and specific diagnostic study [3]. Endoscopy should be carefully performed, as it excludes other, more common causes of upper gastrointestinal bleeding, but should be terminated if a fistula is identified. We present an endoscopic finding of secondary AEF.

Upper Gastrointestinal Bleeding

Gastrointestinal bleeding

Thoracic aortic aneurysm

10.1055/s-2007-995549

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Citations (18)