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Congenital Absence of One Pulmonary Valve Cusp With Other Hypoplastic Cusps  Sachiko Yamazaki, MD, Masaaki Yamagishi, MD, PhD, Kouichi Nishida, MD, Satoshi.

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Presentation on theme: "Congenital Absence of One Pulmonary Valve Cusp With Other Hypoplastic Cusps  Sachiko Yamazaki, MD, Masaaki Yamagishi, MD, PhD, Kouichi Nishida, MD, Satoshi."— Presentation transcript:

1 Congenital Absence of One Pulmonary Valve Cusp With Other Hypoplastic Cusps 
Sachiko Yamazaki, MD, Masaaki Yamagishi, MD, PhD, Kouichi Nishida, MD, Satoshi Tamura, MD, Osamu Monta, MD, Satoshi Numata, MD, PhD, Yasushi Tsutsumi, MD, Hirokazu Ohashi, MD, PhD  The Annals of Thoracic Surgery  Volume 100, Issue 4, Pages (October 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Contrast-enhanced computed tomography in (A) a front view and (B) a right anterior oblique view demonstrates situs-solitus, D-loop, and N-spiral position with dextroversion. The pulmonary artery was markedly dilated and compressed by the sternum, which showed funnel chest. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Intraoperative findings of the pulmonary valve shows complete absence of 1 cusp, without any leaflet tissue (black arrows). The other 2 leaflets were moderately hypoplastic with thickened edges (white arrows). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Postoperative contrast-enhanced computed tomography demonstrates the newly reconstructed pulmonary artery using a composite graft, without any compression. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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