Aortic valve repair by cusp extension for rheumatic aortic insufficiency in children: Long- term results and impact of extension material Patrick O. Myers,

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Aortic valve repair by cusp extension for rheumatic aortic insufficiency in children: Long- term results and impact of extension material Patrick O. Myers, MD, Cécile Tissot, MD, Jan T. Christenson, MD, Mustafa Cikirikcioglu, MD, PhD, Yacine Aggoun, MD, Afksendiyos Kalangos, MD, PhD, FECTS The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 4, Pages 836-844 (October 2010) DOI: 10.1016/j.jtcvs.2010.06.036 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 PhotoFix pericardium cusp extension 5 years later. Surgical view of the repaired AV in a patient requiring reoperation for MV repair 5 years after PhotoFix (Sorin CarboMedics, Milano, Italy) cusp extension. The extensions were pliable and presented no calcifications or retraction. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 836-844DOI: (10.1016/j.jtcvs.2010.06.036) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Survival curves after AV repair for rheumatic AV regurgitation in 78 children. A, Actuarial freedom from reoperation-free survival. B, Actuarial freedom from AV-related event-free survival (including early and late deaths, reoperation, moderate to severe aortic regurgitation, endocarditis, and thromboembolism). The Journal of Thoracic and Cardiovascular Surgery 2010 140, 836-844DOI: (10.1016/j.jtcvs.2010.06.036) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions