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J Thorac Cardiovasc Surg 2003;125:964-966
© 2003 The American Association for Thoracic Surgery

Brief Communications

Tricuspidalization of a bicuspid aortic valve with severe aortic valve insufficiency

Afksendiyos Kalangos, MD, PD, FETCSa, Maurice Beghetti, MDb, Jan T. Christenson, MD, PhD, FETCSa Geneva, Switzerland

From the Departments of Cardiovascular Surgerya and Pediatric Cardiology,b University Hospital of Geneva, Geneva, Switzerland.

Received for publication July 26, 2002. Accepted for publication Aug 20, 2002. Address for reprints: Jan T. Christenson, MD, PhD, FETCS, Department of Cardiovascular Surgery, University Hospital of Geneva, 24 rue Micheli-du-Crest, CH-1211 Geneva 24, Switzerland (E-mail: jan.christenson@hcuge.ch).

The first 20% of the full text of this article appears below.

Aortic valve insufficiency that develops in association with a ventricular septal defect (VSD) is usually caused by leaflet prolapse. In the event of severe aortic valve insufficiency, several techniques to repair the aortic leaflet prolapse have been described.Go Go 1-5 An added problem occurs when the aortic valve is bicuspid. In this report we describe an original technique for transforming a bicuspid aortic valve into a tricuspid valve in a child.

Clinical summary

The patient was a 14-year-old girl who, since 1996, had symptoms of a perimembranous VSD (with an extension just below the aortic annulus) combined with a bicuspid aortic valve and severe aortic valve insufficiency and an elongated and prolapsed posterior leaflet (Laubry-Pezzi congenital malformation). Because of rapid clinical deterioration with increasing dyspnea, she was referred to our center for corrective surgery in May 2002 from Morocco. Preoperative echocardiography revealed a high VSD with subaortic extension and a left-to-right ventricular pressure gradient of 42 mm Hg, together with a severe aortic valve insufficiency and a dilated left ventricle.

Surgical technique

The patient was operated on . . . [Full Text of this Article]






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Copyright © 2003 by The American Association for Thoracic Surgery.