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Coronary orifice rotation for symmetric bicuspidization of a paediatric unicuspid aortic valve.
- Source :
-
Multimedia manual of cardiothoracic surgery : MMCTS [Multimed Man Cardiothorac Surg] 2024 Oct 16; Vol. 2024. Date of Electronic Publication: 2024 Oct 16. - Publication Year :
- 2024
-
Abstract
- Bicuspidization is a valid option for unicuspid aortic valve repair, in which creating symmetrical commissural orientation is essential for improved outcomes. However, the right coronary orifice often interferes with symmetrical attachment of the neocommissure. In a paediatric patient without aortic root dilation, we rotated the right coronary orifice clockwise by cutting out a triangular piece of the non-coronary sinus wall and augmenting it between the left and right coronary sinuses. A neocommissure with patching was sewn to the left side of the right coronary orifice, and the symmetrical bicuspidized configuration was adjusted in a standardized fashion according to the cusp effective height measurement.<br /> (© The Author 2024. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)
- Subjects :
- Humans
Male
Child
Heart Valve Diseases surgery
Heart Valve Diseases diagnosis
Cardiac Surgical Procedures methods
Rotation
Female
Aortic Valve surgery
Aortic Valve abnormalities
Bicuspid Aortic Valve Disease surgery
Bicuspid Aortic Valve Disease diagnosis
Bicuspid Aortic Valve Disease complications
Subjects
Details
- Language :
- English
- ISSN :
- 1813-9175
- Volume :
- 2024
- Database :
- MEDLINE
- Journal :
- Multimedia manual of cardiothoracic surgery : MMCTS
- Publication Type :
- Academic Journal
- Accession number :
- 39412074
- Full Text :
- https://doi.org/10.1510/mmcts.2024.092