scholarly journals J-Mart: aortic valve replacement with Florida sleeve aortic root reconstruction

2020 ◽  
Vol 58 (6) ◽  
pp. 1304-1305
Author(s):  
Eric I Jeng ◽  
Tomas D Martin
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Valve Stenosis ◽  
Aortic Root ◽  
Ascending Aorta ◽  
Aortic Root Aneurysm ◽  
Aortic Pathology

Abstract We highlight a technique combining an aortic valve replacement with the Florida sleeve repair. The patient is a 68-year-old man who had a 48-mm aortic root aneurysm and a 57-mm ascending aorta, presenting with symptomatic tri-leaflet severe aortic valve stenosis. He underwent a hemiarch, aortic valve replacement and Florida sleeve aortic root reconstruction. The patient recovered uneventfully and is now, at over 1 year postoperation, without evidence of recurrent aortic pathology.

scholarly journals The Role of ECG-Gated CT in Patients with Bicuspid Aortic Valve Replacement: New Perspectives in Short- and Long-Term Followup

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Massimiliano Sperandio ◽  
Chiara Arganini ◽  
Alessio Bindi ◽  
Armando Fusco ◽  
Carlo Olevano ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Bicuspid Aortic Valve ◽  
Aortic Root ◽  
Root Diameter ◽  
Ascending Aorta ◽  
Short And Long Term ◽  
The Stability

The aim of our study was to compare the results of the TTE (transthoracic echocardiography) with the results obtained by the ECG-gated 64 slices CT during the followup of patients with bicuspid aortic valve (BAV), after aortic valve replacement; in particular we evaluated the aortic root and the ascending aorta looking for a new algorithm in the followup of these patients. From January 1999 to December 2009 our attention was focused on 67 patients with isolated surgical substitution of aortic valve; after dismissal they were strictly observed. During the period between May and September 2010, these patients underwent their last evaluation, and clinical exams, ECG, TTE, and an ECG-gated-MDCT were performed. At followup TTE results showed an aortic root of 36.7±4 mm and an ascending aorta of 39.6±4.8 mm. ECG- gated CT showed an aortic root of 37.9±5.5 mm and an ascending aorta of 43.1±5.2. The comparison between preoperative and postoperative TTE shows a significant long-term dilatation of the ascending aorta while the aortic root diameter seems to be stable. ECG-gated CT confirms the stability of the aortic root diameter (38.2±5.3 mm versus 37.9±5.5  mm; <0.0001) and the increasing diameter value of the ascending aorta (40.2±3.9 mm versus 43.1±5.2 mm; P=0.0156). Due to the different findings between CT and TTE studies, ECG-gated CT should no longer be considered as a complementary exam in the followup of patients with BAV, but as a fundamental role since it is a real necessity.

scholarly journals Aortic Root Enlargement during Aortic Valve Replacement in Adults

2021 ◽  
pp. 56-62
Author(s):  
Miroslav M. Furman ◽  
Sergey V. Varbanets ◽  
Oleksandr M. Dovgan
Keyword(s):  
Aortic Valve ◽  
Aortic Stenosis ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Root ◽  
Severe Aortic Stenosis ◽  
Aortic Root Replacement ◽  
Safe Procedure ◽  
Aortic Pathology ◽  
Aortic Root Enlargement

Aortic valve replacement is a gold standard in the treatment of patients with severe aortic stenosis or combined aortic pathology. However, aortic valve pathology is often associated with a narrow aortic orifice, particularly in patients with severe aortic stenosis. In 1978, Rahimtoola first described the term of prosthesis-patient mismatch. He noted that effective orifice area of the prosthesis is smaller than that of the native valve. To minimize this complication, there are several surgical strategies: aortic root enlargement (ARE), implantation of a frameless biological prosthesis in the native position, neocuspidalization procedure, Ross procedure, aortic root replacement with xenograft or homograft. ARE is an excellent option, however, some authors outline additional perioperative risks. The aim. To analyze immediate results of ARE during isolated aortic valve replacement and in cases when it is combined with other heart pathologies. Materials and methods. Our study included 63 patients who underwent ARE. Isolated aortic valve replacement was performed in the majority of cases, but often aortic root replacement procedure was combined with coronary artery bypass grafting. Results and discussion. One of 63 patients died (hospital mortality 1.6%) at an early hospital stage (30 postoperative days). Measurement of the aortic valve ring was performed by two methods, through preoperative echocardiography and perioperative measurement using a valve sizer. However, perioperative dimension was chosen as the basis for the calculations. In 62 patients, the perioperative diameter of the aortic valve ring ranged from 19 to 23 mm, only one patient had a diameter of 24 mm. According to our findings, ARE enabled to achieve an average aortic ring size increase of 2.68 cm2 (from 1.5 to 3.4 cm2) and to prevent prosthesis-patient mismatch in 42 (66.7%) cases. Conclusions. Prosthesis-patient mismatch is considered a serious complication in the postoperative period. Narrow aortic root is a common pathology that should be considered during surgery. ARE is a safe procedure and is not associated with an increased risk of mortality and complications.

scholarly journals Giant aortic root aneurysm after aortic valve replacement

2008 ◽  
Vol 24 (12) ◽  
pp. S109
Author(s):  
Toshiya Okajima ◽  
Tadashi Wada ◽  
Koichi Akutsu ◽  
Tsuyoshi Yoshimuta ◽  
Shingo Sakamoto ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Root ◽  
Aortic Root Aneurysm

scholarly journals Aortic Root Replacement 42 Years after Aortic Valve Replacement with the Björk-Shiley Spherical Valve in a Patient with an Aortic Root Aneurysm

2021 ◽  
Vol 50 (3) ◽  
pp. 170-173
Author(s):  
Hidenobu Takaki ◽  
Kenichi Hashizume ◽  
Mitsuharu Mori ◽  
Masatoshi Ohno ◽  
Tomohiko Nakagawa ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Root ◽  
Aortic Root Replacement ◽  
Aortic Root Aneurysm

scholarly journals Outcome of reoperative aortic root or ascending aorta replacement after prior aortic valve replacement

2021 ◽  
Vol 13 (3) ◽  
pp. 1531-1542
Author(s):  
Yaojun Dun ◽  
Yi Shi ◽  
Hongwei Guo ◽  
Yanxiang Liu ◽  
Xiangyang Qian ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Root ◽  
Ascending Aorta ◽  
Aorta Replacement ◽  
Ascending Aorta Replacement

Chronic Type A Aortic Dissection and Giant Aortic Root Aneurysm After Aortic Valve Replacement

Aorta ◽  
2016 ◽  
Vol 4 ◽  
Author(s):  
Andres Enriquez Puga ◽  
Sara Castaño Rodriguez ◽  
Blanca Mateos Pañero ◽  
Beatriz Castaño Moreira ◽  
Luis F. Lopez Almodovar
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Root ◽  
Type A ◽  
Chronic Type ◽  
Type A Aortic Dissection ◽  
Aortic Root Aneurysm

Surgically treated aortic root aneurysm following aortic valve replacement

2001 ◽  
Vol 49 (1) ◽  
pp. 85-88 ◽  
Author(s):  
Hiroshi Furukawa ◽  
Hiroshi Niinami ◽  
Seiichi Ichikawa ◽  
Tetsuo Ban ◽  
Yuji Suda ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Root ◽  
Aortic Root Aneurysm

Two-dimensional echocardiographic diagnosis of a prolapsing aortic root aneurysm after aortic valve replacement

1980 ◽  
Vol 8 (6) ◽  
pp. 504-510
Author(s):  
Masayuki Matsumoto ◽  
Marc Kirschner ◽  
Joel Strom ◽  
William Frishman ◽  
Edmund Sonnenblick
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Aortic Root ◽  
Two Dimensional ◽  
Aortic Root Aneurysm

Severe Aortic Valve Stenosis Due to Alkaptonuric Ochronosis

2017 ◽  
Vol 21 (4) ◽  
pp. 364-366 ◽  
Author(s):  
Magdy M El-Sayed Ahmed ◽  
Omar Hussain ◽  
David A Ott ◽  
Muhammad Aftab
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Female Patient ◽  
Aortic Valve Stenosis ◽  
Aortic Root ◽  
Clinical Picture ◽  
Transthoracic Echocardiography ◽  
Ascending Aorta ◽  
Aortic Valve Leaflets ◽  
Black Discoloration

Alkaptonuric ochronosis is a rare cause of aortic valve stenosis. We report the case of a 61-year-old female patient with alkaptonuria who presented to our institute with the clinical picture of severe aortic valve stenosis, which was confirmed by transthoracic echocardiography. On aortotomy, she was noted to have an impressive black discoloration of ascending aorta and the aortic root complex involving the aortic valve leaflets. She underwent an uneventful aortic valve replacement. She was discharged home 10 days postoperatively.

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