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Total root remodelling by the Sleeve technique for aortic regurgitation in patients with repaired tetralogy of Fallot


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Title: Total root remodelling by the Sleeve technique for aortic regurgitation in patients with repaired tetralogy of Fallot
Authors: Eishi, Junichiro / Miura, Takashi / Obase, Kikuko / Eishi, Kiyoyuki
Issue Date: 5-May-2019
Publisher: Oxford University Press
Citation: European journal of cardio-thoracic surgery, 56(6), pp.1196-1198; 2019
Abstract: We report the case of a 15-year-old male patient who had developed aortic regurgitation primarily because of aortic annulus dilatation late after definitive repair of tetralogy of Fallot. Valsalva sinus dilatation was not remarkable enough for root replacement. For the purpose of total root remodelling, the Sleeve procedure was employed. This procedure not only reduced the root diameters but also augmented commissure heights. With concomitant non-coronary cusp plication, aortic regurgitation was effectively controlled. Thus, the Sleeve technique may be a preferable option for patients who develop aortic regurgitation, due to dilatation of the annulus or sinotubular junction without significant dilatation of the sinus of Valsalva, after congenital heart surgery.
Keywords: Congenital / Aortic valve repair / Total root remodelling / Sleeve
URI: http://hdl.handle.net/10069/39578
ISSN: 10107940
DOI: 10.1093/ejcts/ezz140
Rights: © The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in European journal of cardio-thoracic surgery following peer review. The definitive publisher-authenticated version European journal of cardio-thoracic surgery, 56(6), pp.1196-1198; 2019 is available online at:10.1093/ejcts/ezz140
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/39578

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