146 Aortic Root Replacement In Patients With Previous Aortic Valve Surgery: Experience With 48 Patients

Pseudoaneurysms of the mitral-aortic intervalvular fibrosa are rare complications that can develop after mitral or aortic valve surgery, endocarditis, or Takayasu arteritis. The optimal timing of surgery to avoid potentially life-threatening complications of pseudoaneurysms has not been established, and watchful waiting has been adopted in specific situations. We describe the case of a 50-year-old man in whom a pseudoaneurysm of the mitral-aortic intervalvular fibrosa developed after aortic root replacement with a homograft. After 13 years of watchful waiting, reoperation was deemed necessary because the pseudoaneurysm had grown to 48 mm and the aortic regurgitation caused by the degenerated homograft had become severe. This case highlights the need for increased awareness of mitral-aortic intervalvular fibrosa pseudoaneurysms and their management.

Download Full-text

Combined Aortic Root and Aortic Valve Surgery in Elderly Patients

10.1055/s-0041-1725778 ◽

2021 ◽

Author(s):

F. Sipahi ◽

A. Mehdiani ◽

H. Dalyanoglu ◽

H. Aubin ◽

Y. Sugimura ◽

...

Keyword(s):

Aortic Valve ◽

Elderly Patients ◽

Aortic Root ◽

Valve Surgery ◽

Aortic Valve Surgery ◽

Surgery In Elderly

Download Full-text

Concomitant Aortic Root Replacement With Anterior Konno Annular Enlargement

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135120929013 ◽

2020 ◽

Vol 11 (5) ◽

pp. 630-635

Author(s):

Brian E. Kogon

Keyword(s):

Congenital Heart Disease ◽

Aortic Root ◽

Congenital Heart ◽

Left Ventricular Outflow Tract ◽

Ventricular Outflow Tract ◽

Left Ventricular ◽

Valve Surgery ◽

Aortic Root Replacement ◽

Aortic Valve Surgery ◽

Left Ventricular Outflow

The need for concomitant aortic annular enlargement and aortic root replacement may be necessary in situations of multilevel left ventricular outflow tract obstruction and/or prior aortic or aortic valve surgery, particularly in the setting of congenital heart disease. It can be extremely tedious and fraught with numerous complications. Major challenges include bleeding in difficult-to-reach areas and the potential need for subsequent operations. This article describes a technique of concomitant aortic annular enlargement and aortic root replacement that minimizes the risk of significant blood loss and facilitates future surgery should it be necessary.

Download Full-text

Aortic Root Reoperation after Aortic and Aortic Valve Surgery

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0036-1571632 ◽

2016 ◽

Vol 64 (S 01) ◽

Author(s):

T. Fabry ◽

S. Peterss ◽

M. Luehr ◽

M. Zafar ◽

S. Guenther ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Root ◽

Valve Surgery ◽

Aortic Valve Surgery

Download Full-text

Aortic root and aortic valve surgery: History and modernity

Patologiya krovoobrashcheniya i kardiokhirurgiya ◽

10.21688/1681-3472-2019-4-9-25 ◽

2019 ◽

Vol 23 (4) ◽

pp. 9

Author(s):

R. N. Komarov ◽

A. I. Katkov ◽

D. P. Puzenko ◽

S. N. Odinokova ◽

V. N. Nikolenko

Keyword(s):

Aortic Valve ◽

Conflict Of Interest ◽

Aortic Root ◽

Cardiovascular Surgery ◽

Valve Surgery ◽

Aortic Valve Surgery ◽

Reconstructive Procedures ◽

Plastic Materials ◽

Wide Range ◽

History Of

Heart valve surgery, including aortic valve surgery, began to develop in the first half of the 20th century with the advancement of reconstructive procedures. Thereafter, the progress of science and technology led to the development of mechanical and biological prostheses, homografts and plastic materials, which continue to improve and transform. This review focuses on the historical aspects of the development of aortic root and aortic valve surgery, mentions the initial interventions and presents the contributions of Soviet and Russian surgeons to global surgery. The article will be interesting to cardiovascular surgery specialists as well as a wide range of readers who intend to learn more regarding the history of medicine and cardiovascular surgery.Received 8 November 2019. Revised 10 December 2019. Accepted 12 December 2019.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.

Download Full-text