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Case Reports
. 2022 Aug 3;62(3):ezac360.
doi: 10.1093/ejcts/ezac360.

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

Nathanael Shraer  1 , Alain Berrebi  1 , Raoul Biondi  1 , Emmanuel Lansac  2
Affiliations
Case Reports

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

Nathanael Shraer et al. Eur J Cardiothorac Surg. .

Abstract

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.

Keywords: aortic operation; aortic root; aortic valve repair.

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