Successful Repair of a Forme Fruste Bicuspid Aortic Valve by the Raphe Suspension Technique

Kosuke Saku; Satoshi Arimura; Tomomitsu Takagi; Satoshi Hoshino; Takayuki Abe; Yoko Matsumura; Michio Yoshitake; Ryuichi Nagahori; Ko Bando; Takashi Kunihara

doi:10.1016/j.athoracsur.2021.10.068

Successful Repair of a Forme Fruste Bicuspid Aortic Valve by the Raphe Suspension Technique

Ann Thorac Surg. 2022 Aug;114(2):e117-e119. doi: 10.1016/j.athoracsur.2021.10.068. Epub 2021 Dec 15.

Affiliations

¹ Department of Cardiac Surgery, The Jikei University School of Medicine, Tokyo, Japan. Electronic address: saku_kousuke@kurume-u.ac.jp.
² Department of Cardiac Surgery, The Jikei University School of Medicine, Tokyo, Japan.

PMID: 34921813
DOI: 10.1016/j.athoracsur.2021.10.068

Abstract

A 52-year-old man underwent surgery due to shortness of breath caused by severe aortic regurgitation with right coronary cusp prolapse. Operative findings revealed 3 symmetric cusps with small raphe between the right and noncoronary cusps situated lower than the others, indicating a forme fruste bicuspid aortic valve (BAV). The BAV was successfully repaired by tricuspidization, including raphe suspension, right coronary cusp plication, and double annuloplasty. The postoperative course was uneventful, and echocardiography at 3 months showed mild aortic regurgitation with adequate left ventricular reverse remodeling. Here we present the technical details of the raphe suspension procedure for forme fruste BAV.

Publication types

Case Reports

MeSH terms

Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Aortic Valve Insufficiency* / diagnostic imaging
Aortic Valve Insufficiency* / etiology
Aortic Valve Insufficiency* / surgery
Aortic Valve Stenosis* / etiology
Bicuspid Aortic Valve Disease*
Heart Valve Diseases* / complications
Heart Valve Diseases* / diagnostic imaging
Heart Valve Diseases* / surgery
Humans
Male
Middle Aged