Concomitant aortic valve repair for aortic insufficiency and implantation of left ventricle mechanical support

Figures

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  Figure 1. (A) Precardiopulmonary bypass, mid‐esophageal aortic valve short axis view with Impella in place crossing the aortic valve between the noncoronary and right coronary cusps. (B) On cardiopulmonary bypass following removal of Impella device, mid‐esophageal aortic valve short axis with color flow doppler demonstrating two AI Jets, one central and one at the location of the removed Impella. (C) On cardiopulmonary bypass following removal of Impella catheter, mid‐esophageal aortic valve long axis view demonstrating the central aortic insufficiency jet. (D) Postcardiopulmonary bypass and aortic valve repair, mid‐esophageal aortic valve long axis view demonstrating trace aortic insufficiency through a central jet

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  Figure 2. (A) Aortic annuloplasty ring (HAART 300—trileaflet aortic valve). (B) Illustration of aortic annuloplasty ring in the sub valvular position. (C) Aortic valve postrepair with aortic annuloplasty ring