Bicuspidization of a unicuspid valve using sliding plasty of a rudimentary right coronary cusp.

Autor:	Shraer N; Départment of Cardiac Pathology, Institut Mutualiste Montsouris, 75014, Paris, France., Berrebi A; Départment of Cardiac Pathology, Institut Mutualiste Montsouris, 75014, Paris, France., Biondi R; Départment of Cardiac Pathology, Institut Mutualiste Montsouris, 75014, Paris, France., Lansac E; Department of Cardiovascular and Thoracic Surgery, Pitié-Salpêtrière Hospital, 75013, Paris, France.
Jazyk:	angličtina
Zdroj:	European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery [Eur J Cardiothorac Surg] 2022 Aug 03; Vol. 62 (3).
DOI:	10.1093/ejcts/ezac360
Abstrakt:	Unicuspid aortic valve repair relies on the principles of bicuspidization by creating a neo-commissure at 180° from the existing commissure, with pericardial patch interposition. We report a case of a 26-year-old patient with cor triatriatum and a severely regurgitating unicuspid valve. The left atrium membrane was resected. Aortic valve repair was performed creating a neo-commissure using a sliding plasty of the rudimentary right coronary cusp and patch reconstruction of the anterior part of the non-coronary cusp, protected by external subvalvular annuloplasty and hemi-root remodelling. We detail a repair technique of a partial autologous reconstruction approach for bicuspidization. (© The Author(s) 2022. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)
Databáze:	MEDLINE
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