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Perforation of the Valsalva Sinus After Implantation of Medtronic Freestyle Aortic Bioprosthesis  Nobuchika Ozaki, MD, Yutaka Hino, MD, Yuji Hanafusa,

Published byGriselda Barber Modified over 5 years ago

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Presentation on theme: "Perforation of the Valsalva Sinus After Implantation of Medtronic Freestyle Aortic Bioprosthesis  Nobuchika Ozaki, MD, Yutaka Hino, MD, Yuji Hanafusa,"— Presentation transcript:

1 Perforation of the Valsalva Sinus After Implantation of Medtronic Freestyle Aortic Bioprosthesis 
Nobuchika Ozaki, MD, Yutaka Hino, MD, Yuji Hanafusa, MD, Teruo Yamashita, MD, Kenji Okada, MD, Takuro Tsukube, MD, Yutaka Okita, MD  The Annals of Thoracic Surgery  Volume 82, Issue 6, Pages (December 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Operative findings showing a 15-mm hole in the Freestyle valve noncoronary sinus and a right cusp tear (right, intraoperative findings; left, specimen). (NCC = noncoronary cusp; RCC = right coronary cusp.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Pathologic findings showing noncoronary Valsalva sinus defect in the transitional zone between the elastic tissue and collagen fibers. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Computed tomography showing the pseudoaneurysm of the aortic root (right, the lower part; left, the upper). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Operative findings showing 20-mm holes in the Freestyle valve left and noncoronary sinuses in the 2nd (A) (right, intraoperative findings; left, specimen) and the 3rd operation (B) (right, specimen from inside; left, from outside). (LCC = left coronary cusp; NCC = noncoronary cusp.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

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