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Secondary Repair of Incompetent Pulmonary Valves

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Presentation on theme: "Secondary Repair of Incompetent Pulmonary Valves"— Presentation transcript:

1 Secondary Repair of Incompetent Pulmonary Valves
Nestoras Papadopoulos, MD, Anoosh Esmaeili, MD, Andreas Zierer, MD, Farhad Bakhtiary, MD, PhD, Feyzan Özaslan, MD, Anton Moritz, MD, PhD  The Annals of Thoracic Surgery  Volume 87, Issue 6, Pages (June 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Reanastomosed rupture and plication of the elongated free margin of the remaining pulmonary valve leaflets. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The dilated pulmonary root has been stabilized by resuspension within a tubular Dacron prosthesis (DuPont, Wilmington, DE), analogous to the David procedure. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 A monocusp valve was shaped from glutaraldehyde-fixed autologous pericardium sewn to a strip of polytetrafluoroethylene patch. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Pulmonary insufficiency grade is shown at the latest follow-up before and after secondary repair of the pulmonary valve. (PI = pulmonary insufficiency grade.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Right ventricular dilatation index (RVDI) is shown at last follow-up before and after the redo procedure. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 A considerable amount of remaining pulmonary leaflet tissue was observed intraoperatively in redo operations. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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