Autologous repair of “very asymmetric” bicuspid aortic valves using geometric ring annuloplasty

Figures

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  Remodeling of “very asymmetric” bicuspid valves achieved using the 180° annuloplasty ring.

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  Figure 1. A, The bicuspid annuloplasty ring used for remodeling of “very asymmetric” bicuspid valves. B, The ball sizer that is placed into the nonfused sinus behind the leaflet to measure leaflet free-edge length.

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  Figure 2. Pre- and postrepair views of valve anatomy, echocardiography (Echo), and geometry are shown to illustrate the precise valve and annular remodeling that occurs with this approach. The green arrow indicates the commissural fusion and cleft. The blue arrow illustrates the cleft closure. The green shapes indicate the sinuses of Valsalva.