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Aortic valve reconstruction in myxomatous degeneration of aortic valves: Are fenestrations a risk factor for repair failure
The Journal of Thoracic and Cardiovascular Surgery, 08/20/09

Schäfers HJ et al. – Isolated cusp prolapse is a relevant cause of aortic regurgitation in tricuspid aortic valves without concomitant root dilatation. In myxomatous stretching of cusp tissue, plication of the free margin suffices to restore cusp geometry and aortic valve function. In the presence of fenestrations, reconstruction of normal cusp configuration can be achieved by means of closure of the fenestration with a pericardial patch. The midterm stability of both approaches is good.

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