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Commissural repositioning in bicuspid aortic valve repair: an in vitro acute model to explore and explain different results.

Claudia RomagnoniMonica ContinoMichal JaworekRubina RosaEleonora SalursoFrancesca PericoGuido GelpiRiccardo VismaraGianfranco Beniamino FioreAndrea ManginiCarlo Antona
Published in: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (2021)
The 180° commissural reorientation of the asymmetrical bicuspid aortic valve does not improve the transvalvular aortic gradient in an acute model at rest conditions, but it could do so under stress situations. Even if it is surgically more complex and time-consuming, this approach could be a good strategy to improve long-term results, particularly in young patients.
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