• Gen Thorac Cardiovasc Surg · Aug 2012

    Case Reports

    Modified patch repair for bicuspid aortic valve with thickened raphe.

    • Takeshi Shimamoto, Tatsuhiko Komiya, Genichi Sakaguchi, and Takeshi Maruo.
    • Department of Cardiovascular Surgery, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, Japan. ts12295@kchnet.or.jp
    • Gen Thorac Cardiovasc Surg. 2012 Aug 1;60(8):504-6.

    AbstractWe report a successful repair of bicuspid aortic valve having thickened raphe using pericardial patch. After excising the thickened portion, the patch was sewn to the remaining leaflet and root. To note, the height the patch was sewn to the root was lowered to the equivalent level of the corresponding portion of the other cusp, to create symmetrical bicuspid configuration. Postoperative echocardiography revealed trivial aortic regurgitation with improved leaflet motion and transvalvular flow.

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