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The Annals of Thoracic Surgery, Vol 52, 1329-1330, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Aplasia of the right aortic cusp in a neonate: a life-threatening but curable anomaly

AC Henze, TK Malm, JT Sunnegardh and MB Hallberg
Department of Cardiothoracic Surgery, University Hospital, Uppsala, Sweden.

A case of absent right aortic cusp causing serious aortic incompetence in a neonate is reported. A "bicuspidalization" repair broke down within 24 hours, but reoperation with annular enlargement and insertion of a 19-mm prosthetic valve resulted in complete recovery. This rare but life-threatening anomaly of the aortic valve can be recognized with Doppler echocardiography. Valve replacement in conjunction with aortic annular enlargement should be performed as primary repair.




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Copyright © 1991 by The Society of Thoracic Surgeons.