Haiming Li, MD, Chengxiong Gu, MD The Annals of Thoracic Surgery

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Off-Pump Semicircular Annuloplasty: Effective Treatment of Concurrent Moderate Aortic Regurgitation Haiming Li, MD, Chengxiong Gu, MD The Annals of Thoracic Surgery Volume 104, Issue 1, Pages e97-e99 (July 2017) DOI: 10.1016/j.athoracsur.2017.01.090 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative view. (A) Noncoronary sinus is fully exposed. (B) Suture is placed from right coronary (RC)-noncoronary (NC) interleaflet triangles to NC-left coronary (LC) interleaflet triangles and is fixed at NC-LC interleaflet triangles after evaluation by transesophageal echocardiography. (NCS = noncoronary sinus.) The Annals of Thoracic Surgery 2017 104, e97-e99DOI: (10.1016/j.athoracsur.2017.01.090) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Anatomy of aortic root and (B) position of annuloplasty. Double blue line represents position of suture. (LA = left coronary artery; NCS = noncoronary sinus; RA = right coronary artery.) The Annals of Thoracic Surgery 2017 104, e97-e99DOI: (10.1016/j.athoracsur.2017.01.090) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative transesophageal echocardiography showing (A) moderate aortic regurgitation (AR) before annuloplasty and (B) trivial AR after annuloplasty. The Annals of Thoracic Surgery 2017 104, e97-e99DOI: (10.1016/j.athoracsur.2017.01.090) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions