Redo Konno–Bentall with pulmonary valve replacement for late paravalvular leak after a childhood Konno procedure

Figures

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  Redo Konno-Bentall for biventricular outflow tract reconstruction.

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  Figure 1. Preoperative imaging. A, Calcified aortic patch adjacent to the mechanical aortic valve (arrow indicates dehiscence). B, Calcified patch extending toward the right ventricular outflow tract. C, Aortic root dilatation with severe patch calcification.

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  Figure 2. Intraoperative findings and reconstruction. A, Dehiscence between the calcified patch and mechanical aortic valve (arrow). B, Sutures placed along the ventricular septal incision (dotted line) with a double-layer bovine pericardial patch. C, Right ventricular view of the septal patch suture line (arrowheads indicate new aortic valve suture line). D, Sutures at the aortic annulus and patch-enlarged portion. E, Postreconstruction intraoperative view.