PMC7566199_01
A: Intraoperative trans-esophageal echocardiography (1 - aortic annular abscess; 2 - Bicuspid aortic valve). B: Aortic valve during surgery.
gr1.jpg
PMC7566199_01_gr1.jpg
fig0005
Trans-esophageal echocardiography showed an aortic annular abscess near the commissure between anterior and posterior leaflets (Fig. 1).
A: Closure of aortic annular abscess using autologous pericardium. B: Two leaflets trimmed from pericardium. C: The reconstructed aortic valve.
gr2.jpg
PMC7566199_01_gr2.jpg
fig0010
The leaflets were trimmed, the annular calcifications were removed, and the abscess was cleaned and closed with pericardium (Fig. 2A). The sizes of two leaflets were measured (the distance between two commissures) using the sizer tool designed by Ozaki and the results were 35 mm for both leaflets (Fig. 2B).