{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T16:09:44Z","timestamp":1777738184903,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>Quadricuspid aortic valve (QAV) is a rare congenital anomaly often associated with aortic insufficiency. The exact anatomy of QAV is variable, and most cases have undergone aortic valve replacement. With the recognition that aortic valve repair achieves superior patient outcomes as compared to replacement, a systematic approach to autologous reconstruction of QAV is needed. This article reports 2 cases having successful repair utilizing geometric aortic annuloplasty rings, and describes a proposed scheme for repairing most QAV defects, based on relative leaflet and commissural characteristics. Using either tri-leaflet or bicuspid ring annuloplasty, the normal sub-commissural triangles can be remodeled into a 120\u00b0 or 180\u00b0 configuration, respectively, and then the leaflets can be sutured and plicated to fit annular geometry. With this approach, most quadricuspid valves potentially could undergo autologous reconstruction.<\/jats:p>","DOI":"10.1177\/15569845211003095","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T20:04:09Z","timestamp":1618949049000},"page":"390-392","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Quadricuspid Aortic Valve Repair Facilitated by Geometric Ring Annuloplasty"],"prefix":"10.1177","volume":"16","author":[{"given":"Joseph A.","family":"McGuire","sequence":"first","affiliation":[{"name":"West Virginia University School of Medicine, Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather K.","family":"Hayanga","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular and Thoracic Anesthesiology, West Virginia University, Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremiah W.","family":"Hayanga","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Sloyer","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular and Thoracic Anesthesiology, West Virginia University, Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Ellison","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular and Thoracic Anesthesiology, West Virginia University, Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Scott","family":"Rankin","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinay","family":"Badhwar","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,20]]},"reference":[{"key":"bibr1-15569845211003095","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(73)90332-9"},{"key":"bibr2-15569845211003095","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.02.010"},{"key":"bibr3-15569845211003095","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.09.016"},{"key":"bibr4-15569845211003095","author":"Rankin JS.","journal-title":"Op Tech Thorac Cardiovasc Surg"},{"key":"bibr5-15569845211003095","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2019.04.10"},{"key":"bibr6-15569845211003095","unstructured":"Baker JN., Klokocovnik T., Miceli A, et al. Mimimally invasive aortic valve repair using geometric ring annuloplasty. In:\n                      Society of Thoracic Surgeons Annual Meeting\n                      , 29-31 January 2021, Chicago: STS."}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845211003095","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15569845211003095","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845211003095","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:21:28Z","timestamp":1777461688000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15569845211003095"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,20]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/15569845211003095"],"URL":"https:\/\/doi.org\/10.1177\/15569845211003095","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,20]]}}}