Repair follows anatomy

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Presentation transcript:

Repair follows anatomy Hans-Hinrich Sievers, MD The Journal of Thoracic and Cardiovascular Surgery Volume 156, Issue 2, Pages 588-589 (August 2018) DOI: 10.1016/j.jtcvs.2018.03.069 Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Schematic drawings of the “sinking” right coronary sinus and annuloplasty techniques. A, The “sinking” right coronary sinus1,3 results in different heights of the basal ring (X) and the ventriculo-aortic junction (Y) related to the sinotubular junction. B, Annuloplasty without muscle dissection may not adequately prevent recurrence of annulus dilatation (arrow). C, Deep circumferential annuloplasty1 lowers the annuloplasty toward the level of the annulus; note proximity to R. D, Internal ring annuloplasty with the fixation pledget in the sinus followed by the remodeling procedure. R, Right ventricular outflow tract; G, graft (blue line); P, prosthetic ring. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 588-589DOI: (10.1016/j.jtcvs.2018.03.069) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Schematic drawing of the “sinking” sinus1 anatomy. The Journal of Thoracic and Cardiovascular Surgery 2018 156, 588-589DOI: (10.1016/j.jtcvs.2018.03.069) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions