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Fitsum Lakew, MD, Paul P. Urbanski, MD, PhD 

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Presentation on theme: "Fitsum Lakew, MD, Paul P. Urbanski, MD, PhD "— Presentation transcript:

1 Aortic Valve Leaflet Perforation After Minimally Invasive Mitral Valve Repair 
Fitsum Lakew, MD, Paul P. Urbanski, MD, PhD  The Annals of Thoracic Surgery  Volume 101, Issue 3, Pages (March 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Transesophageal three-dimensional echocardiography demonstrating the proximity of the mitral and aortic valves. An opened noncoronary aortic cusp is indicated by the black arrow, and the intervalvular fibrous body and anterior aspect of the mitral valve annulus are indicated by the white arrow. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A, B) Transesophageal echocardiography revealing moderate to severe aortic regurgitation originating at the aortic cusp perforation (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Intraoperative image of a noncoronary cusp perforation (arrow).
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Intraoperative view of the same patient as in Figure 3 after closure of the cusp perforation with an autologous pericardial patch and repair of the root with a single patch technique (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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