Original Aortic Valve Plasty With Autologous Pericardium for Quadricuspid Valve Isamu Kawase, MD, Shigeyuki Ozaki, MD, PhD, Hiromasa Yamashita, MD, Shin.

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Original Aortic Valve Plasty With Autologous Pericardium for Quadricuspid Valve Isamu Kawase, MD, Shigeyuki Ozaki, MD, PhD, Hiromasa Yamashita, MD, Shin Uchida, MD, Yukinari Nozawa, MD, Takayoshi Matsuyama, MD, Mikio Takatoh, MD, So Hagiwara, MD The Annals of Thoracic Surgery Volume 91, Issue 5, Pages 1598-1599 (May 2011) DOI: 10.1016/j.athoracsur.2010.10.068 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative transesophageal echocardiography shows a quadricuspid aortic valve. (ACC = accessory cusp; LCC = left coronary cusp; NCC = noncoronary cusp; RCC = right coronary cusp.) The Annals of Thoracic Surgery 2011 91, 1598-1599DOI: (10.1016/j.athoracsur.2010.10.068) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Operative view shows the quadricuspid aortic valve. (B) All 4 native aortic valve leaflets were removed. (C) Aortic valve repair was completed using autologous pericardium. The new right coronary cusp (RCC) is made in combination with the previous accessory cusp (ACC). (LCC = left coronary cusp; NCC = noncoronary cusp.) The Annals of Thoracic Surgery 2011 91, 1598-1599DOI: (10.1016/j.athoracsur.2010.10.068) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions