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Interact Cardiovasc Thorac Surg · May 2013
Case ReportsTwo-patch repair of a bicuspid aortic valve with vegetation on its raphe.
- Takeshi Shimamoto, Tatsuhiko Komiya, Genichi Sakaguchi, and Takeshi Maruo.
- Department of Cardiovascular Surgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan. ts12295@kchnet.or.jp
- Interact Cardiovasc Thorac Surg. 2013 May 1; 16 (5): 705-7.
AbstractWe report the successful repair of a bicuspid aortic valve with vegetation on its thickened raphe by using two pericardial patches. After excising the vegetation and thickened raphe, the first patch was sewn between the remaining leaflets. Another patch was then sewn at the base of the cusp to create sufficient geometrical height for good coaptation. Our two-patch technique may facilitate intraoperative accommodation of the 3-D shape of the new cusp.
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