Two-patch repair of a bicuspid aortic valve with vegetation on its raphe.
We 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.
Department of Cardiovascular Surgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan. ts12295@kchnet.or.jp
Takeshi
T
Shimamoto
Tatsuhiko
T
Komiya
Genichi
G
Sakaguchi
Takeshi
T
Maruo
D000328:Adult; D001021:Aortic Valve / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D000082882:Bicuspid Aortic Valve Disease; D006348:Cardiac Surgical Procedures; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation*; D013536:Suture Techniques; D016896:Treatment Outcome; D014463:Ultrasonography