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Remodeling of the aortic root and reconstruction of the bicuspid aortic valve  Hans-Joachim Schäfers, MD, PhD, Frank Langer, MD, Diana Aicher, MD, Thomas.

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Presentation on theme: "Remodeling of the aortic root and reconstruction of the bicuspid aortic valve  Hans-Joachim Schäfers, MD, PhD, Frank Langer, MD, Diana Aicher, MD, Thomas."— Presentation transcript:

1 Remodeling of the aortic root and reconstruction of the bicuspid aortic valve 
Hans-Joachim Schäfers, MD, PhD, Frank Langer, MD, Diana Aicher, MD, Thomas P Graeter, MD, Olaf Wendler, MD  The Annals of Thoracic Surgery  Volume 70, Issue 2, Pages (August 2000) DOI: /S (00)

2 Fig 1 Schematic drawing of valve repair. The congenitally fused leaflet consists of rudimentary right and left coronary leaflets with a median raphe. The rudimentary commissure between the rudimentary leaflets is lower than the two true commissures of the noncoronary leaflet. The prolapse of the fused leaflet at its free margin has been corrected by two plicating sutures. The aortic sinuses have been resected in preparation for subsequent root remodeling. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

3 Fig 2 Schematic drawing of the Dacron graft prepared for root remodeling in a bicuspid root. The Dacron is tailored to accommodate the large noncoronary sinus and the two rudimentary sinuses with respect to circumference and sinus depth. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

4 Fig 3 Transesophageal echocardiogram after valve repair and root remodeling. There is a normal configuration of the aortic root with minimal regurgitation as seen by color Doppler. The Annals of Thoracic Surgery  , DOI: ( /S (00) )


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