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Root Remodeling and Aortic Valve Repair for Unicuspid Aortic Valve

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Presentation on theme: "Root Remodeling and Aortic Valve Repair for Unicuspid Aortic Valve"— Presentation transcript:

1 Root Remodeling and Aortic Valve Repair for Unicuspid Aortic Valve
Marco Franciulli, MD, Diana Aicher, MD, Tanja Rädle-Hurst, MD, Hiroaki Takahashi, MD, PhD, Svetlana Rodionycheva, MD, Hans- Joachim Schäfers, MD, PhD  The Annals of Thoracic Surgery  Volume 98, Issue 3, Pages (September 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Drawing of the initial operative steps. The unicuspid valve is characterized by one normal and two rudimentary commissures. A tongue of aortic tissue is left adjacent to the normal commissure and opposite that commissure. The coronary ostia are mobilized (dashed lines). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Drawing of the next operative steps. The hypoplastic right cusp including its commissural zones is resected. A Dacron graft is tailored to create two symmetric tongues that are then brought into the root and sutured to the remnants of aortic wall. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Drawing of the completed procedure. Using pericardial patches, the two cusps have been reconstructed to create a symmetric bicuspid design with two commissures of normal height. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Actuarial freedom from reoperation of patients after root remodeling and aortic valve repair for unicuspid aortic valve. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Actuarial freedom from aortic valve replacement of patients after root remodeling and aortic valve repair for unicuspid aortic valve. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

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