Aortic Valve Repair of Aortic Valve Insufficiency in the Young Woman after Congenital Heart Disease Operation

Daisuke Futagami and Tatsuhiko Komiya

（Department of Cardiovascular Surgery, Kurashiki Central Hospital, Kurashiki, Japan）

Interest in aortic valve repair has been growing for more than a decade. Since ross and associates 1）first introduced single cusp enlargement, cusp extension or replacement of aortic valve insufficiency has been used with rheumatic and congenital aortic valve disease. There is more interest on the effectiveness and durability of the leaflet extension technique with autologous pericardium and long-term clinical results. A 29-year-old woman had suffered from aortic valve insufficiency after congenital heart disease operation. Echocardiography and computed tomography showed right cusp shortening with severe aortic valve regurgitation. We perfomed right cusp extension with bovine pericardium and central plication. According to some reports, the stability of autologous pericardium being better than bovine pericardium, but this case could not use a autologous pericardium because of a previous operation. The patient had an uneventful postoperative course and pregnancy became possible.

 

Jpn. J. Cardiovasc. Surg. 44:45-49（2015）

Keywords：aortic valve repair;cusp extension;bovine pericardium