Commissurotomy and bileaflet pericardial augmentation-resuspension for bicuspid aortic valve stenosis.
We describe a valve reconstruction technique for congenital bicuspid aortic valve stenosis employing a commissurotomy, resection of raphe between conjoint leaflets, and bileaflet augmentation-resuspension using a triangular strip of glutaraldehyde-preserved autologous pericardium. This maneuver relieves aortic valve stenosis, preserves the native valve leaflets, reproduces the natural trileaflet scalloping of the aortic valve annulus, and improves cusp coaptation.
Kadri
M A
MA
Albert Starr Academic Center for Cardiac Surgery, St. Vincent Heart Institute, Portland, Oregon 97225, USA.
Hovaguimian
H
H
Starr
A
A
D001024:Aortic Valve Stenosis / Q000151:congenital / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006801:Humans; D010496:Pericardium / Q000637:transplantation*; D013536:Suture Techniques; D014182:Transplantation, Autologous