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Updated: Apr 25, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Aortic Valvuloplasty for Incomplete Quadricuspid Aortic Valve Using Tricuspidization by Folding the Accessory Cusp
Atsuyuki Mitsuishi1, Yujiro Miura1, Kazuya Miyagawa2
1Division of Cardiovascular Surgery, Department of Surgery, Kochi Medical School Hospital, Okohcho, Nankoku-shi, Kochi Prefecture, Japan.
Abstract:
We describe a young patient with incomplete quadricuspid aortic valve, poor medication adherence, and multiple dental caries. Aortic valve repair was selected over replacement and successfully performed by tricuspidization, folding the accessory cusp toward the commissure between the right and noncoronary cusps while preserving the raphe. The postoperative course was uneventful, and mild aortic insufficiency persisted without progression at 2 years.
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