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Bicuspid Aortic Valve Repair by Implantation of External Dacron Ring and Cusp Plication
A 49-year-old male patient underwent cardiac surgery for massive regurgitation of a bicuspid aortic valve in an anteroposterior configuration. A conservative approach was chosen. The ventricular-aortic junction was reduced with an external dacron ring, and the anterior cusp was plicated to re-establish optimal coaptation. No residual regurgitation was present at the end of the operation.