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Updated: Aug 2, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Commissurotomy and bileaflet pericardial augmentation-resuspension for bicuspid aortic valve stenosis
M A Kadri1, H Hovaguimian, A Starr
1Albert Starr Academic Center for Cardiac Surgery, St. Vincent Heart Institute, Portland, Oregon 97225, USA.
Abstract:
We describe a valve reconstruction technique for congenital bicuspid aortic valve stenosis employing a commissurotomy, resection of raphe between conjoint leaflets, and bileaflet augmentation-resuspension using a triangular strip of glutaraldehyde-preserved autologous pericardium. This maneuver relieves aortic valve stenosis, preserves the native valve leaflets, reproduces the natural trileaflet scalloping of the aortic valve annulus, and improves cusp coaptation.
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