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Method of Total Autologous Reconstruction of the Aortic Valve
This experimental video shows a total reconstruction of the aortic valve with autologous pericardium using the author’s method of patch tailoring. In this method, the three inter-commissural distances are measured after the native valve excision, and the parameters are determined using the author’s formulas (1). The single patch is tailored with all three leaflets nearby. The patch is sutured on the fibrous annulus using continuous running sutures. The newly created aortic valve is tested with hydrostatic pressure.
1. Gasparyan, V. Method of determination of aortic valve parameters for its reconstruction with autopericardium: An experimental study. JTCVS, 2000; 119: 386-387.