Aortic Valve-Sparing Procedure With Cusp Elongation and Free Edge Reinforcement for Bicuspid Aortic Valve  Francois Dagenais, MD, Richard Bauset, MD,

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Aortic Valve-Sparing Procedure With Cusp Elongation and Free Edge Reinforcement for Bicuspid Aortic Valve  Francois Dagenais, MD, Richard Bauset, MD, Patrick Mathieu, MD  The Annals of Thoracic Surgery  Volume 79, Issue 4, Pages 1393-1395 (April 2005) DOI: 10.1016/j.athoracsur.2003.10.021

Fig 1 Operative view showing the bicuspid valve with the partially calcified raphe. The Annals of Thoracic Surgery 2005 79, 1393-1395DOI: (10.1016/j.athoracsur.2003.10.021)

Fig 2 Raphe excised and cusp elongation being achieved with a “prime”-shaped autologous pericardial patch. The Annals of Thoracic Surgery 2005 79, 1393-1395DOI: (10.1016/j.athoracsur.2003.10.021)

Fig 3 Free edge cusp reinforcement with an in and out running 6-0 Goretex suture. The Annals of Thoracic Surgery 2005 79, 1393-1395DOI: (10.1016/j.athoracsur.2003.10.021)