Modified patch repair for bicuspid aortic valve with thickened raphe

Gen Thorac Cardiovasc Surg. 2012 Aug;60(8):504-6. doi: 10.1007/s11748-012-0034-2. Epub 2012 May 19.

Abstract

We report a successful repair of bicuspid aortic valve having thickened raphe using pericardial patch. After excising the thickened portion, the patch was sewn to the remaining leaflet and root. To note, the height the patch was sewn to the root was lowered to the equivalent level of the corresponding portion of the other cusp, to create symmetrical bicuspid configuration. Postoperative echocardiography revealed trivial aortic regurgitation with improved leaflet motion and transvalvular flow.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Valve / abnormalities
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery*
  • Cardiac Surgical Procedures*
  • Female
  • Heart Defects, Congenital / diagnostic imaging
  • Heart Defects, Congenital / surgery*
  • Humans
  • Pericardium / transplantation*
  • Suture Techniques
  • Treatment Outcome
  • Ultrasonography