Tricuspidization by the raphe suspension technique in a unicuspid or bicuspid aortic valve.

Abstract

Central plication to close a raphe is the most reproducible procedure in bicuspid aortic valve or unicuspid aortic valve repair; however, raphe plication is sometimes associated with systolic doming of the fused leaflet and narrowing of the valve orifice. We experienced a patient with a bicuspid aortic valve with a pliable raphe and commissure orientation close to 120°. Suspension of the raphe was performed instead of plication to create a functional commissure and achieve tricuspidization. This raphe suspension technique could be used in a patient with a unicuspid aortic valve to reconstruct a functional left lateral commissure concomitant with anterior neocommissure reconstruction using pericardium. This simple raphe suspension technique may be beneficial for some patients to avoid excessive plication.

• Authors: Kiyoyuki Eishi, Ichiro Matsumaru, Takashi Miura, Shun Nakaji, Kikuko Obase
• Journal: Multimedia manual of cardiothoracic surgery : MMCTS (Multimed Man Cardiothorac Surg) Vol. 2021 (Jan 18 2021) ISSN: 1813-9175 [Electronic] England
• PMID: 33577145 (Publication Type: Case Reports, Journal Article, Video-Audio Media)
• Copyright: © The Author 2021. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Topics

• Aortic Valve (surgery)
• Cardiac Surgical Procedures (methods)
• Heart Valve Diseases (surgery)
• Humans
• Male
• Middle Aged
• Pericardium (transplantation)