Successful bicuspid aortic valve repair using external aortic annuloplasty.
A 33-year-old man presented with severe aortic insufficiency due to a prolapsed bicuspid aortic valve. The ventriculoaortic junction was dilated to 29 mm without root dilatation, and external ring annuloplasty was performed using a Gelweave (Terumo, Tokyo, Japan) graft to reduce the size to 22 mm. The leaflets were repaired by dividing and suturing a raphe between the right and left cusps. This combination provided adequate coaptation depth (8 mm) and showed excellent results, with trivial aortic insufficiency. This approach is suitable for repair of a bicuspid aortic valve with a dilated ventriculoaortic junction without root dilatation.
Department of Cardiovascular Surgery, New Tokyo Hospital, Chiba, Japan. Electronic address: hirokiy@sth-medical.co.jp.
Hiroki
H
Yamaguchi
Department of Cardiovascular Surgery, New Tokyo Hospital, Chiba, Japan.
Tatsuya
T
Nakao
Department of Cardiovascular Surgery, New Tokyo Hospital, Chiba, Japan.
Tasuku
T
Kadowaki
Department of Cardiovascular Surgery, New Tokyo Hospital, Chiba, Japan.
Hiromasa
H
Nakamura
Department of Cardiovascular Surgery, New Tokyo Hospital, Chiba, Japan.
Noriyuki
N
Tokunaga
Department of Cardiovascular Surgery, New Tokyo Hospital, Chiba, Japan.
Masataka
M
Yoda
Department of Cardiovascular Surgery, New Tokyo Hospital, Chiba, Japan.
Masami
M
Takagaki
D000328:Adult; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D000082882:Bicuspid Aortic Valve Disease; D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D006349:Heart Valve Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D012074:Remission Induction