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Fig. 2 | Journal of Cardiothoracic Surgery

Fig. 2

From: Successful treatment of cardiac dysfunction due to left main trunk obstruction and severe acute aortic regurgitation secondary to acute type A aortic dissection using Impella: a case report

Fig. 2

Operative findings. (a) Transesophageal echocardiography shows an inversion of the aortic flap into the left ventricular outflow tract. (b, c) The dynamic obstruction of the left main trunk (LMT) was repaired by repositioning the aortic flap. (d) Proximal reinforcement was performed with a Teflon felt inside and outside using continuous mattress sutures

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