title: Commissurotomy and bileaflet pericardial augmentation-resuspension for bicuspid aortic valve stenosis.
abstract: 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.
authors.affiliation: Albert Starr Academic Center for Cardiac Surgery, St. Vincent Heart Institute, Portland, Oregon 97225, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Kadri
authors.forename: H
authors.initials: H
authors.lastname: Hovaguimian
authors.forename: A
authors.initials: A
authors.lastname: Starr
mesh_terms: 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