Published in:
01-04-2020 | Echocardiography | How to Do It
Commissure enhancement technique in aortic valve repair
Authors:
Mitsuharu Hosono, Kohei Kawazoe, Shintaro Kuwauchi, Naoki Taniguchi, Hiroshi Yasumoto, Naoki Minato
Published in:
General Thoracic and Cardiovascular Surgery
|
Issue 4/2020
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Abstract
Sinotubular junction enlargement is one of possible causes of aortic valve regurgitation. However, there is no appropriate technique for sinotubular junction diameter reduction in aortic valve repair in a patient without disease of the ascending aorta or sinus of Valsalva. Herein, we report a simple commissure enhancement technique comprising the placement a horizontal mattress suture buttressed with felt at the sinotubular junction level in the commissure area. This technique results in the relocation of the commissure to the inner side, and a reduction in the diameter of the sinotubular junction.