Successful Transcatheter Handmade-Valved Graft Stent for Branch Pulmonary Regurgitation: Novel Approach in a Special Event Ming-Tai Lin, MD, PhD, Jou-Kou.

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Successful Transcatheter Handmade-Valved Graft Stent for Branch Pulmonary Regurgitation: Novel Approach in a Special Event Ming-Tai Lin, MD, PhD, Jou-Kou Wang, MD, PhD, Pei-Yuan Wu, MD, Chun-Wei Lu, MD, Te-I Chang, MD, Yih-Sharng Chen, MD, PhD The Annals of Thoracic Surgery Volume 102, Issue 6, Pages e541-e543 (December 2016) DOI: 10.1016/j.athoracsur.2016.04.093 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Severe pulmonary regurgitation demonstrated in the selective cineangiogram of the left pulmonary artery (LPA) (before stent graft implantation). (B) Measurement of the diameter of LPA. (C) The handmade valve stent graft was deployed at the proximal LPA; white arrows indicate valved stent graft. (RV = right ventricle.) The Annals of Thoracic Surgery 2016 102, e541-e543DOI: (10.1016/j.athoracsur.2016.04.093) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Assembly of the handmade pulmonary valved stent graft. (A) Preparation of Gore-Tex membrane, (B) semilunar-cusp design, (C) trimmed stent (contralateral lilac limbs; final length, 4 cm), (D) inside-out flipped stent, (E) suturing semilunar Gore-Tex membrane, (F) sutured semilunar Gore-Tex membrane, (G and H) views from the top and the bottom of the stent, (I and J) flipping back the valved stent graft, and (K–N) assembly of the valved stent graft. The Annals of Thoracic Surgery 2016 102, e541-e543DOI: (10.1016/j.athoracsur.2016.04.093) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Assembly of the handmade pulmonary valved stent graft. (A) Preparation of Gore-Tex membrane, (B) semilunar-cusp design, (C) trimmed stent (contralateral lilac limbs; final length, 4 cm), (D) inside-out flipped stent, (E) suturing semilunar Gore-Tex membrane, (F) sutured semilunar Gore-Tex membrane, (G and H) views from the top and the bottom of the stent, (I and J) flipping back the valved stent graft, and (K–N) assembly of the valved stent graft. The Annals of Thoracic Surgery 2016 102, e541-e543DOI: (10.1016/j.athoracsur.2016.04.093) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions