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Successful Repair of Regurgitant Pentacuspid Pulmonary Valve Combined With Pulmonary Artery Aneurysm  Tasuku Kadowaki, MD, Hiroki Yamaguchi, MD, PhD,

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Presentation on theme: "Successful Repair of Regurgitant Pentacuspid Pulmonary Valve Combined With Pulmonary Artery Aneurysm  Tasuku Kadowaki, MD, Hiroki Yamaguchi, MD, PhD,"— Presentation transcript:

1 Successful Repair of Regurgitant Pentacuspid Pulmonary Valve Combined With Pulmonary Artery Aneurysm 
Tasuku Kadowaki, MD, Hiroki Yamaguchi, MD, PhD, Masami Takagaki, MD, PhD, Hiromasa Nakamura, MD, PhD, Shinichi Mitsuyama, MD, PhD, Takeshi Ando, MD, Gaku Takinami, MD, Tatsuya Nakao, MD, PhD  The Annals of Thoracic Surgery  Volume 101, Issue 5, Pages (May 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Intraoperative view of pentacuspid pulmonary valve, composed of four equivalent leaflets and one hypoplastic leflet (asterisk) at the aortic side. (B) Schematic presentation of pulmonary valve showing its relationship to the aorta, the hypoplastic leaflet (asterisk) close to the aorta, and two anterior leaflets (A1 and A2) opposite the aorta. The leaflets appeared intact. (A1 and A2 = anterior semilunar cusps; L = left semilunar cusp; LCA = left coronary artery orifice; R = right semilunar cusp; RCA = right coronary artery orifice.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Surgical procedure. (A) Internal annuloplasty with use of a 28-mm Gelweave graft ring (Terumo, Tokyo, Japan) (width, 7 mm) sutured internally beneath the pulmonary annulus with 13 pledgetted 2-0 Ti-Cron mattress sutures, pledgets being placed above the pulmonary annulus. (B) Pulmonary valve after repair with bicuspidization technique. Complete bicuspidization performed by suturing aortic side three leaflets (left and right semilunar leaflets, including hypoplastic leaflet) and two anterior leaflets as new leaflets with 6-0 Prolene running sutures. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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