fig2
Figure 2. Simplified reimplantation in a bicuspid aortic valve. Observe the horizontal pledgeted suture securing the top of the commissure at the neo-sinutubular junction, and a single vertical pledgeted suture placed inside the interleaflet triangles to better support the commissure and seal the space behind it, thereby preventing blood flow between the commissure and the Dacron graft in closed (A) and open (B) position.
