Related Experiment Video
Updated: May 14, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Two-patch repair of a bicuspid aortic valve with vegetation on its raphe
Takeshi Shimamoto1, Tatsuhiko Komiya, Genichi Sakaguchi
1Department of Cardiovascular Surgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan. ts12295@kchnet.or.jp
Abstract:
We report the successful repair of a bicuspid aortic valve with vegetation on its thickened raphe by using two pericardial patches. After excising the vegetation and thickened raphe, the first patch was sewn between the remaining leaflets. Another patch was then sewn at the base of the cusp to create sufficient geometrical height for good coaptation. Our two-patch technique may facilitate intraoperative accommodation of the 3-D shape of the new cusp.
Related Concept Videos
Mitral Stenosis III: Medical Management
Aneurysm III: Interprofessional Care

