Figures
Figure 1. A. Severely calcified unicuspid aortic
valve. B. Blue arrows, extension of calcifications onto
the aortomitral curtain and anterior mitral valve leaflet.
Figure 2. A. Blue arrows, depict displaced aortic
annulus of the left coronary sinus into the LVOT, and below the level of
the aortic annulus of the right- and non-coronary sinus. B.Sewing of a prosthetic graft to the displaced aortic annulus between
left/right- to non/left- coronary commissure. C. Trimming of
the graft to align the cut free edge of the graft with the aortic
annulus of the right- and non-coronary sinus. D. Anchoring of
the lateral 2 edges of the graft to the commissures.
Figure 3. A. Elevation of the left coronary sinus annulus with
prosthetic graft material. B. Black and blue arrows ,
depict the new aortic annulus. C . Graft-reinforced pulmonary
autograft is sewn to the aortic annulus. D. Seated pulmonary
autograft onto the neo-aortic annulus.