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Critical Aortic Stenosis in Early Infancy: Surgical Treatment for Residual Lesions After Balloon Dilation  Vladimiro L. Vida, MD, Tomaso Bottio, MD, Ornella.

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Presentation on theme: "Critical Aortic Stenosis in Early Infancy: Surgical Treatment for Residual Lesions After Balloon Dilation  Vladimiro L. Vida, MD, Tomaso Bottio, MD, Ornella."— Presentation transcript:

1 Critical Aortic Stenosis in Early Infancy: Surgical Treatment for Residual Lesions After Balloon Dilation  Vladimiro L. Vida, MD, Tomaso Bottio, MD, Ornella Milanesi, MD, Elena Reffo, MD, Roberta Biffanti, MD, Raffaele Bonato, MD, Giovanni Stellin, MD  The Annals of Thoracic Surgery  Volume 79, Issue 1, Pages (January 2005) DOI: /j.athoracsur

2 Fig 1 Surgical findings: (1) bicuspid aortic valve with congenital commissural fusion, (2) bicuspid aortic valve with torn leaflet after balloon valvuloplasty, (3) bicuspid aortic valve with dysplastic and thickened leaflet, (4) fibrous subaortic valve membrane causing aortic leaflet distortion, (5) bicuspid aortic valve with a pseudocommissure distorting the valve leaflet. The Annals of Thoracic Surgery  , 47-51DOI: ( /j.athoracsur )

3 Fig 2 Surgical procedures: (1) surgical commissurotomy, (2) aortic valve leaflet repair with direct suture, (3) aortic valve leaflet resuspension at the commissure, (4) freeing of the aortic valve leaflet from the subaortic membrane, (5) pseudocommissure release with mobilization of the valve leaflet, (6) aortic valve leaflet shaving (removal of accessory fibrous tissue from aortic valve leaflet). The Annals of Thoracic Surgery  , 47-51DOI: ( /j.athoracsur )


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