Suspension String: A New Method of Aortic Valvuloplasty for Aortic Insufficiency and Ventricular Septal Defect Zhixiong Huang, MD The Annals of Thoracic.

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Suspension String: A New Method of Aortic Valvuloplasty for Aortic Insufficiency and Ventricular Septal Defect Zhixiong Huang, MD The Annals of Thoracic Surgery Volume 82, Issue 3, Pages 1137-1139 (September 2006) DOI: 10.1016/j.athoracsur.2005.07.005 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Two ends of a pledgetted stitch were passed through the aorta at each side of the right, noncoronary commissure and then through another pledget, and then knots were repeatedly tied in a row. The length of the row of knots was equal to that of the free edge of the left coronary or noncoronary leaflet. The remainder of the stitch ends were passed through a pledget, then the aortic wall at each side of the left and right coronary commissure, and through an extraaortic pledget, and were then tied. A suspension string was a formed by the row of knots, which was supported by a Teflon (Dupont Teflon, Wilmington, DE) felt pledget sandwich at each of two commissures. The Annals of Thoracic Surgery 2006 82, 1137-1139DOI: (10.1016/j.athoracsur.2005.07.005) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The free margin of the prolapsed cusp was attached to the suspension string by a continuous suture. The Annals of Thoracic Surgery 2006 82, 1137-1139DOI: (10.1016/j.athoracsur.2005.07.005) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions