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Sinus Plication to Improve Valve Configuration in Bicuspid Aortic Valve Repair—Early Results  Ulrich Schneider, MD, Wolfram Schmied, Dipl-Psych, Diana.

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Presentation on theme: "Sinus Plication to Improve Valve Configuration in Bicuspid Aortic Valve Repair—Early Results  Ulrich Schneider, MD, Wolfram Schmied, Dipl-Psych, Diana."— Presentation transcript:

1 Sinus Plication to Improve Valve Configuration in Bicuspid Aortic Valve Repair—Early Results 
Ulrich Schneider, MD, Wolfram Schmied, Dipl-Psych, Diana Aicher, MD, Christian Giebels, MD, Lena Winter, MD, Hans-Joachim Schäfers, MD  The Annals of Thoracic Surgery  Volume 103, Issue 2, Pages (February 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Drawing of the operative principle of sinus plication. The fused sinuses are reduced in their basal circumference by a Teflon-pledgetted suture. Above the fused sinuses the aortotomy is closed by asymmetric placement of the sutures, thus shortening the aortic circumference on the root side of the incision. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Intraoperative transesophageal short-axis view of a bicuspid aortic valve. The commissural angle of the noncoronary commissures is 130°. (B) Intraoperative transesophageal short-axis view of the same bicuspid aortic valve treated by sinus plication. The commissural angle of the noncoronary commissures is 155°. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Kaplan-Meier analysis of the 2 groups for freedom from reoperation (Re-OP). Valve stability is significantly improved with sinus plication (p = ). (w/o = without.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Kaplan-Meier analysis of the 2 groups for freedom from aortic regurgitation (AR) grade II or higher. Valve stability is significantly improved with sinus plication (p = ). (w/o = without.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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