145-I * REPAIR OF BICUSPID AORTIC VALVE WITH AUTOLOGOUS PERICARDIUM: PREVENTING PERICARDIAL TEARS

P. P. Urbanski, S. Frank
2013 Interactive Cardiovascular and Thoracic Surgery  
Objectives: Reconstruction of a bicuspid aortic valve mostly requires the use of autologous pericardium for the cusp repair. This again is burdened by the risk of tearing the tissue at the suture line especially, when the stitches are localized at the high stress points. Methods: First, we abandoned suturing the pericardium with the thin and fragile cusp tissue (e.g. after excision of the raphe) and, if appropriate, replaced the entire cusp body with pericardial patches using the annulus, the
more » ... the annulus, the cusp free margin and the commissures as a frame for the repair. This technique
doi:10.1093/icvts/ivt372.145 fatcat:vmc7utgzkfbvhce4z62fkw5mae