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Assessment and repair of aortic valve cusp prolapse: Implications for valve-sparing procedures  Munir Boodhwani, MD, MMSc, Laurent de Kerchove, MD, Christine.

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Presentation on theme: "Assessment and repair of aortic valve cusp prolapse: Implications for valve-sparing procedures  Munir Boodhwani, MD, MMSc, Laurent de Kerchove, MD, Christine."— Presentation transcript:

1 Assessment and repair of aortic valve cusp prolapse: Implications for valve-sparing procedures 
Munir Boodhwani, MD, MMSc, Laurent de Kerchove, MD, Christine Watremez, MD, David Glineur, MD, Jean-Louis Vanoverschelde, MD, Philippe Noirhomme, MD, Gebrine El Khoury, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 141, Issue 4, Pages (April 2011) DOI: /j.jtcvs Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Transesophageal echocardiographic views of the aortic valve in long axis (A), demonstrating an eccentric aortic insufficiency jet. B, Cusp prolapse with coaptation below the level of the aortic annulus and a fibrous band (white arrow). C, A short-axis view of the aortic valve confirms the presence of the fibrous band (white arrow). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 After a transverse aortotomy, cusp inspection reveals a transverse fibrous band on the prolapsing cusp indicated by the black arrow. Right coronary cusp (A and B) and noncoronary cusp (C). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Freedom from (A) aortic valve (AV) reoperation and (B) recurrent aortic insufficiency (AI) greater than 2+ in the isolated and associated groups. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs ) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

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