Semilunar Valve Replacement With Decellularized Homograft After Damus-Kaye- Stansel Anastomosis and Fontan Procedure Dmitry Bobylev, MD, Thomas Breymann,

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Semilunar Valve Replacement With Decellularized Homograft After Damus-Kaye- Stansel Anastomosis and Fontan Procedure Dmitry Bobylev, MD, Thomas Breymann, MD, Dietmar Boethig, MD, Axel Haverich, MD, Masamichi Ono, MD, PhD The Annals of Thoracic Surgery Volume 97, Issue 5, Pages 1792-1795 (May 2014) DOI: 10.1016/j.athoracsur.2013.07.116 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative images. (A) Computed tomogram demonstrating markedly deleted, incompetent semilunar valve. (B) Still image of retrograde aortography. White arrow shows severe neoaortic valve (Neo-AV) regurgitation. (Ao = aorta; F. Tunnel = Fontan tunnel.) The Annals of Thoracic Surgery 2014 97, 1792-1795DOI: (10.1016/j.athoracsur.2013.07.116) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Schematic diagram (sagittal view) of operation. (A) Preoperative view and (B) postoperative view. (Ao = aorta; DKS = Damus-Kaye-Stansel anastomosis; Neo-AV = neoaortic valve; PA = pulmonary artery; TE = tissue engineered valve.) The Annals of Thoracic Surgery 2014 97, 1792-1795DOI: (10.1016/j.athoracsur.2013.07.116) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative echocardiogram. Doppler image demonstrating a fully competent valve 2 years after operation. (Ao = aorta; TE = tissue engineered valve.) The Annals of Thoracic Surgery 2014 97, 1792-1795DOI: (10.1016/j.athoracsur.2013.07.116) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions