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. 2022 Sep;19(3):173-176.
doi: 10.5114/kitp.2022.119772. Epub 2022 Oct 8.

Konno-Rastan procedure in surgical recurrence of congenital aortic stenosis and hypoplastic aortic annulus

Gerber Polo-Gutierrez  1 , Pedro Rojas-Sanchez  1 , Fernando Chavarri-Velarde  1 , Wildor Samir Cubas  2
Affiliations

Konno-Rastan procedure in surgical recurrence of congenital aortic stenosis and hypoplastic aortic annulus

Gerber Polo-Gutierrez et al. Kardiochir Torakochirurgia Pol. 2022 Sep.
No abstract available

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Conflict of interest statement

The authors report no conflict of interest.

Figures

Figure 1
Figure 1
Preoperative and postoperative echocardiographic study. A – TEE long-axis view of the aortic root showing measurement of an HAA. B – TEE short-axis view showing a tricuspid aortic valve with thickened leaflets (*) and decreased opening. C – TEE long-axis view showing severe aortic regurgitation jet. D – Apical 4-chamber TTE view showing severe dilation of the left ventricle and severe mitral regurgitation jet. E – TTE 4-chamber apical view showing continuous wave Doppler of the aortic valve prosthesis. F – TTE parasternal long-axis view showing the adequate opening of the aortic valve prosthesis (arrow)
Figure 2
Figure 2
Mitral annuloplasty and K-R procedure. A – Posterior mitral annuloplasty with bovine pericardium patch. B – Aortotomy with right ventriculotomy extension. C – Konno incision (arrow). D – Lower part of the internal anchorage of the bovine pericardium patch on the interventricular septum E – Placement of valve sutures in the neoannulus. F – Mechanical aortic valve replacement. G – Reconstruction of the aortic root with the upper part of the inner patch. H – Reconstruction of the LVOT with an external patch
Figure 2
Figure 2
Mitral annuloplasty and K-R procedure. A – Posterior mitral annuloplasty with bovine pericardium patch. B – Aortotomy with right ventriculotomy extension. C – Konno incision (arrow). D – Lower part of the internal anchorage of the bovine pericardium patch on the interventricular septum E – Placement of valve sutures in the neoannulus. F – Mechanical aortic valve replacement. G – Reconstruction of the aortic root with the upper part of the inner patch. H – Reconstruction of the LVOT with an external patch
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