Critical Aortic Stenosis in Early Infancy: Surgical Treatment for Residual Lesions After Balloon Dilation Vladimiro L. Vida, MD, Tomaso Bottio, MD, Ornella.

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Presentation transcript:

Critical Aortic Stenosis in Early Infancy: Surgical Treatment for Residual Lesions After Balloon Dilation Vladimiro L. Vida, MD, Tomaso Bottio, MD, Ornella Milanesi, MD, Elena Reffo, MD, Roberta Biffanti, MD, Raffaele Bonato, MD, Giovanni Stellin, MD The Annals of Thoracic Surgery Volume 79, Issue 1, Pages 47-51 (January 2005) DOI: 10.1016/j.athoracsur.2004.02.120

Fig 1 Surgical findings: (1) bicuspid aortic valve with congenital commissural fusion, (2) bicuspid aortic valve with torn leaflet after balloon valvuloplasty, (3) bicuspid aortic valve with dysplastic and thickened leaflet, (4) fibrous subaortic valve membrane causing aortic leaflet distortion, (5) bicuspid aortic valve with a pseudocommissure distorting the valve leaflet. The Annals of Thoracic Surgery 2005 79, 47-51DOI: (10.1016/j.athoracsur.2004.02.120)

Fig 2 Surgical procedures: (1) surgical commissurotomy, (2) aortic valve leaflet repair with direct suture, (3) aortic valve leaflet resuspension at the commissure, (4) freeing of the aortic valve leaflet from the subaortic membrane, (5) pseudocommissure release with mobilization of the valve leaflet, (6) aortic valve leaflet shaving (removal of accessory fibrous tissue from aortic valve leaflet). The Annals of Thoracic Surgery 2005 79, 47-51DOI: (10.1016/j.athoracsur.2004.02.120)