Valve-sparing aortic root repair using single patch technique and a new vascular graft

Cardiac complication is one of the diseases that usually develop in Marfan syndrome patient such as mitral valve regurgitation and aortic root aneurysm. Apart from that, other congenital anomalies also tend to occur in this group of patients such as pectus excavatum and scoliosis. We report a case of successful high-risk surgery involving a Marfan syndrome patient who had underlying severe kyphoscoliosis and previous mitral valve replacement that underwent redo sternotomy and valve sparing aortic root repair (David procedure). The surgery was challenging due to the need to perform redo-sternotomy on severe pectus patient, performing valve sparing aortic root repair, and complicated with injury to right coronary artery require modified Cabrol modification for implantation of the coronary artery. The available literature about redo sternotomy on severe pectus excavatum for aortic root repair is limited, hence this paper aims to highlight the successful of performing the procedure, and the complication that might occur during the procedure.

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Leaflet repair and valve sparing (inclusion technique) aortic root repair: reference to the latest principles

BMJ Case Reports ◽

10.1136/bcr-2013-008587 ◽

2013 ◽

Vol 2013 (apr22 1) ◽

pp. bcr2013008587-bcr2013008587

Author(s):

A. Tucker ◽

H. Parissis

Keyword(s):

Aortic Root ◽

Root Repair ◽

Valve Sparing ◽

Aortic Root Repair

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Valve-sparing aortic root repair without down-sizing of the annulus

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2011.10.056 ◽

2012 ◽

Vol 143 (2) ◽

pp. 294-302.e1 ◽

Cited By ~ 24

Author(s):

Paul P. Urbanski ◽

Xiaochun Zhan ◽

Husam Hijazi ◽

Michael Zacher ◽

Anno Diegeler

Keyword(s):

Aortic Root ◽

Root Repair ◽

Valve Sparing ◽

Aortic Root Repair

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First Beating-Heart Valve-Sparing Aortic Root Repair: A “Corset” Technique

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2014.11.062 ◽

2015 ◽

Vol 99 (4) ◽

pp. 1464-1466 ◽

Cited By ~ 10

Author(s):

Tomasz Plonek ◽

Andrzej Dumanski ◽

Marta Obremska ◽

Wojciech Kustrzycki

Keyword(s):

Heart Valve ◽

Aortic Root ◽

Beating Heart ◽

Root Repair ◽

Valve Sparing ◽

Aortic Root Repair

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Choosing aortic valve plasty for aortic root/ascending aorta repair

Patologiya krovoobrashcheniya i kardiokhirurgiya ◽

10.21688/1681-3472-2016-2-26-34 ◽

2016 ◽

Vol 20 (2) ◽

pp. 26 ◽

Cited By ~ 2

Author(s):

E. R. Charchyan ◽

Yu. V. Belov ◽

A. A. Skvortsov ◽

G. I. Slagaev ◽

P. N. Shvedov

Keyword(s):

Aortic Valve ◽

Aortic Root ◽

Reoperation Rate ◽

Early Postoperative Period ◽

Aortic Aneurysms ◽

Long Term Results ◽

Good Survival ◽

Root Repair ◽

Valve Sparing ◽

Aortic Root Repair

Aim: The study was designed to evaluate the outcomes of aortic valve reimplantation (David procedure), as well as various techniques of aortic root reconstruction. Methods: The results of 84 valve-sparing operations for thoracic aortic aneurysms and dissections were analyzed at B. Petrovsky Russian Research Center of Surgery over a period from 2007 to 2016. The first group (n = 42) consisted of patients after David procedure, the second group (n = 38) included patients after different methods of aortic root repair (fixation of commissures, leaflets plication, sinotubular ridge repair). 5-year results of surgical treatment were assessed. Results: David procedure is characterized by good long-term results. There was no in-hospital and 5-year mortality in the first group, while 2 (5.3%) patients in the second group died in the early postoperative period. In both groups the reoperation rate was 2.4% and 8.3% respectively. Conclusion: Valve-sparing aortic root repair is characterized by good survival rate, high freedom from reoperation and low incidence of complications.

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