Intraoperative bronchoscopic resection of a papillary fibroelastoma in the left ventricular outflow tract after aortic mechanical valve replacement

2010 ◽  
Vol 58 (8) ◽  
pp. 411-414 ◽  
Author(s):  
Takashi Shuto ◽  
Shinji Miyamoto ◽  
Hirofumi Anai ◽  
Tomoyuki Wada ◽  
Hirotsugu Hamamoto ◽  
...  
2014 ◽  
Vol 24 (6) ◽  
pp. 1121-1133 ◽  
Author(s):  
Constantine Mavroudis ◽  
Constantine D. Mavroudis ◽  
Jeffrey P. Jacobs

AbstractOperations for left ventricular outflow tract abnormalities are centred on hemodynamic conditions that relate to subvalvar stenosis, valvar stenosis/regurgitation, aortic annular hypoplasia, and supravalvar aortic stenosis. Operative interventions over the years have evolved because the intervening outcomes proved to be unsatisfactory. The resection for subvalvar aortic stenosis has progressed from a fibrous “membrane” resection to a more extensive fibromuscular resection. Operative solutions for valvar aortic stenosis and regurgitation have resulted in operative interventions that depend on simple commissurotomy, leaflet extensions, prosthetic mechanical valve replacement, biologic valve replacement, including the pulmonary autograft, and operations to treat aortic annular stenosis. Although there are enthusiastic proponents for all of these strategies, the fact remains that none have proven to be curative; patients can expect to undergo further procedures during their lifetimes. The short- and mid-term solutions to these left ventricular outflow tract abnormalities have improved based on operations that have been attended by increasing operative complexity. The purpose of this review is to chronicle the operative steps of the Ross operation, the Konno–Rastan operation, the modified Konno operation, the Ross–Konno operation, and the modified Ross–Konno operation.


Aorta ◽  
2015 ◽  
Vol 03 (05) ◽  
pp. 167-171 ◽  
Author(s):  
Masood Shariff ◽  
Daniel Martingano ◽  
Usman Khan ◽  
Nikhil Goyal ◽  
Raman Sharma ◽  
...  

AbstractLeft ventricular outflow tract pseudoaneurysm is an uncommon complication following aortic valve replacement (AVR), occurring most frequently secondary to endocarditis. We present a case of a 47-year-old female with a history of intravenous drug abuse and a past surgical history of two AVRs (2001 and 2009 with aortic root replacement for endocarditis) who presented with symptoms of lower extremity weakness. Subsequent radiologic imaging revealed the presence of a left ventricular outflow tract pseudoaneurysm, which was surgically managed with a homologous conduit.


Sign in / Sign up

Export Citation Format

Share Document