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Cusp Extension Technique for Bicuspid Aortic Valve in Turner-like Stigmata

Department of Surgery
¹ Department of Pediatrics, Toyama Medical & Pharmaceutical University, Toyama, Japan

For reprint information contact: Yoshihiro Oshima, MD Tel: 81 76 434 2281 Fax: 81 76 434 5032 Email: oshima{at}ms.toyama-mpu.ac.jp Department of Surgery, Toyama Medical & Pharmaceutical University, 2630 Sugitani, Toyama 930– 0194, Japan.

A 19-year-old girl with bicuspid aortic valve and Turner-like stigmata underwent a successful repair with a cusp extension technique using fresh autologous pericardium for aortic insufficiency. She also had a simultaneous artificial graft replacement for ascending aortic dilatation. Aortic valve function showed no significant stenosis and slight insufficiency 2 years postoperatively. This technique is recommended to avoid a Ross or Ross/Konno procedure because of its ready availability, simplicity and excellent midterm results.