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Ann Thorac Surg 1998;65:566
© 1998 The Society of Thoracic Surgeons

How to Do It

Leaflet’s Free Edge Suspension for Correction of Aortic Insufficiency Associated With Ventricular Septal Defect

Afksendiyos Kalangos, MD, PhD, Maurice Beghetti, MD, Nicolas Murith, MD, Bernard Faidutti, MD

Clinic for Cardiovascular Surgery, University Cantonal Hospital of Geneva, Geneva, Switzerland
Clinic for Pediatric Cardiology, University Cantonal Hospital of Geneva, Geneva, Switzerland

Accepted for publication September 3, 1997.

Dr Kalangos, Clinic for Cardiovascular Surgery, University Cantonal Hospital of Geneva, 24, rue Micheli-du-Crest, 1211 Geneva 14, Switzerland.

Aortic valve regurgitation in association with ventricular septal defect results from the mechanical effect of the ventricular septal defect, which primarily affects the free edge. The elongated free edge can be repaired by plicating it using several techniques designed to restore a normal geometry to the prolapsing aortic leaflet. We describe 4 cases in which aortic insufficiency was treated by a technique of plication that allows suspension of the free edge along a pericardial strip applied from one commissure to the other.




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 J. Thorac. Cardiovasc. Surg.Home page
A. Kalangos, M. Beghetti, and J. T. Christenson
Tricuspidalization of a bicuspid aortic valve with severe aortic valve insufficiency
J. Thorac. Cardiovasc. Surg., April 1, 2003; 125(4): 964 - 966.
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