Figure legends
Figure 1A : Longitudinal incision from the distal PA to the RVOT.
Figure 1B : Exposed PV showing fibrotic cusps.
Figure 1C : Implantation of pulmonary bioprosthesis (Carpentier-Edwards Magna Ease), conforming to the natural PV commissures.
Figure 1D : Anterior portion of the bioprosthesis left unanchored.
Figure 1E+F : Enhancement of PA and RVOT with bovine pericardial patch (Fig 1A + 1D same patient, fig 1B + 1C different patients).
Figure 2A+B+C : Opened RA showing a fibrotic retracted TV. Multiple incisions are made from the free edge to the annulus respecting chordal attachments (suggested black lines fig 2A, performed in different patient fig 2B, illustration fig 2C).
Figure 2D : Implantation of a tricuspid bioprosthesis (Carpentier-Edwards Perimount Plus).