Commissurotomy and bileaflet pericardial augmentation-resuspension for bicuspid aortic valve stenosis.
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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.
Medical subject headings
- Aortic Valve Stenosis
- Cardiac Surgical Procedures
- Pericardium