Durability of Truncal Valve Repair

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Presentation transcript:

Durability of Truncal Valve Repair Aditya K. Kaza, MD, Phillip T. Burch, MD, Nelangi Pinto, MD, L. LuAnn Minich, MD, Lloyd Y. Tani, MD, John A. Hawkins, MD The Annals of Thoracic Surgery Volume 90, Issue 4, Pages 1307-1312 (October 2010) DOI: 10.1016/j.athoracsur.2010.06.018 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Commissuroplasty and commissural suspension performed for redundant/prolapsing leaflet. The Annals of Thoracic Surgery 2010 90, 1307-1312DOI: (10.1016/j.athoracsur.2010.06.018) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Quadricuspid truncal valve with a deficient leaflet. (B) Repair is accomplished using leaflet union to create either a tricuspid or bicuspid valve. (C) Additional commissuroplasty sutures are utilized as needed to provide additional support at the commissural posts. The Annals of Thoracic Surgery 2010 90, 1307-1312DOI: (10.1016/j.athoracsur.2010.06.018) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Subvalvar annuloplasty employed for dilated truncal roots where there is central insufficiency. (B) The subvalvar suture is tied over an appropriate-sized sound to aid in reduction annuloplasty. The Annals of Thoracic Surgery 2010 90, 1307-1312DOI: (10.1016/j.athoracsur.2010.06.018) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Kaplan-Meier graph demonstrating freedom from repeat valvuloplasty. The time after valvuloplasty is depicted in months on the x-axis, and the freedom from reintervention in percentage on the y-axis. The number at risk are indicated in the graph. The Annals of Thoracic Surgery 2010 90, 1307-1312DOI: (10.1016/j.athoracsur.2010.06.018) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions