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Javariah Siddiqui, MBBS, Christian P. Brizard, MD, Igor E

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1 Outcomes After Operations for Bicuspid Aortic Valve Disease in the Pediatric Population 
Javariah Siddiqui, MBBS, Christian P. Brizard, MD, Igor E. Konstantinov, MD, PhD, John Galati, BS, PhD, Gavin Wheaton, MD, Michael Cheung, MB ChB, Stephen Horton, PhD, Yves d'Udekem, MD, PhD  The Annals of Thoracic Surgery  Volume 96, Issue 6, Pages (December 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Indication for the operation by age group (AI = aortic insufficiency; AS = aortic stenosis.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Examples of techniques of repair. (A) Tricuspidization and cusp extension. 1. Bicuspid valve. 2. Incision of the raphe. 3. Cusp extension with patches of pericardium of the tricuspidized valve. (B) Commissurotomy and creation of a neocommissure with a pericardial patch with resection of the raphe and insertion of a triangular patch. 1. Bicuspid valve with thickened raphe and commissural fusion. 2. Incision of the commissure, resection of the dysplastic fibrosis and creation of a neo-commissure with a pericardial patch. 3. Resection of the thickened raphe and insertion of a triangular pericardial patch. (Reproduced from Heart, Congenital heart disease: aortic valve surgery in children, Yves d'Udekem, Vol 97, Pages 1182–89, Copyright 2011, with permission from BMJ Publishing Group Ltd. [15]) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Freedom from reintervention.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Freedom from valve replacement.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Freedom from any significant event.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Freedom from any significant event (no patch used vs use of patch). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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