Aortic Valve Repair for Severe Commissural Leaflet Defects Using Aortic Wall Patches.

ABSTRACT:

Background

In patients with aortic insufficiency, annular dilatation often accompanies valve incompetence, necessitating annuloplasty. However, primary leaflet defects also are common, and when found unexpectedly at the time of planned repair, inadequate leaflet tissue often prompts prosthetic valve replacement. A method for achieving stable repair for severe leaflet deficiencies would be useful.

Methods

In this report, major leaflet defects due to ruptured large fenestrations were encountered in 2 patients, the first repaired with extensive plication, which failed. In the second patient, the defect was reconstructed using an autologous aortic wall patch. After geometric annuloplasty, the aortic wall strip was sutured with interrupted 6-0 sutures from the nodulus to the comm

SUBMITTER: Nissen AP 

PROVIDER: S-EPMC12559602 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature