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Ann Thorac Surg 1997;63:548-550
© 1997 The Society of Thoracic Surgeons

Case Report

Commissurotomy and Bileaflet Pericardial Augmentation-Resuspension for Bicuspid Aortic Valve Stenosis

M. Adebambo Kadri, MD, Hagop Hovaguimian, MD, Albert Starr, MD

Albert Starr Academic Center for Cardiac Surgery, St. Vincent Heart Institute, Portland, Oregon

Accepted for publication September 30, 1996.

We describe a valve reconstruction technique for congenital bicuspid aortic valve stenosis employing a commissurotomy, resection of raphe between conjoint leaflets, and bileaflet augmentation-resuspension using a triangular strip of glutaraldehyde-preserved autologous pericardium. This maneuver relieves aortic valve stenosis, preserves the native valve leaflets, reproduces the natural trileaflet scalloping of the aortic valve annulus, and improves cusp coaptation.




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