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.