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Aortic Valve Annuloplasty: New Single Suture Technique

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1 Aortic Valve Annuloplasty: New Single Suture Technique
Joachim Schöllhorn, MD, Bartosz Rylski, MD, Friedhelm Beyersdorf, MD, PhD  The Annals of Thoracic Surgery  Volume 97, Issue 6, Pages (June 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Proposed terminology of the aortic root components by Sievers and colleagues [4]. (Reproduced from Sievers HH, Hemmer W, Beyersdorf F, et al. The everyday used nomenclature of the aortic root components: the tower of Babel? Eur J Cardiothorac Surg 2012;41:478–82, by permission of Oxford University Press.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) The single suture runs above and underneath the leaflet attachment line for aortic valve annuloplasty. The suture passes commissures infravalvular and the middle of the aortic valve cusps in an epivalve manner. (B) Suture entry-exit site is located in the noncoronary sinus, where it is knotted outside the aorta using a single Teflon pledget. (RCA = right coronary artery; LCA = left coronary artery.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Intraoperative view on the aortic valve after annuloplasty using a single suture. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Transthoracic echocardiography of aortic valve (A) before and (B) after annuloplasty. Reduction of annulus diameter from 24 to 21 mm and right-left commissure resuspension eliminated moderate aortic valve insufficiency. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

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