Giant ascending aortic aneurysm after aortic valve replacement

2020 ◽  
Vol 35 (8) ◽  
pp. 2033-2034
Author(s):  
Mihaela I. Dregoesc ◽  
Cătălin A. Trifan ◽  
Svetlana Encica ◽  
Wael Halloumi ◽  
Adrian C. Iancu
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Ascending Aortic Aneurysm

scholarly journals Ascending aortic aneurysm repair 44 years after Starr–Edwards caged-ball aortic valve replacement

2018 ◽  
Vol 54 (5) ◽  
pp. 962-963
Author(s):  
Gabrielle E Hatton ◽  
Akiko Tanaka ◽  
Anthony L Estrera
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Anticoagulation Therapy ◽  
Ball Valve ◽  
Ascending Aortic Aneurysm ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Abstract We report a case of ascending aortic aneurysm repair and redo aortic valve replacement with a bioprosthesis 44 years after aortic valve replacement with a Starr–Edwards metal caged-ball prosthesis. The patient presented with a moderately stenotic caged-ball valve and a 50-mm ascending aortic aneurysm on a routine follow-up transthoracic echocardiography. We replaced the valve with a bioprosthesis at the time of aortic repair as the patient wished to stop anticoagulation therapy. Intraoperatively, we found that the cloth covering of the cage was nearly completely destroyed.

scholarly journals A 12.8 cm Diameter: Giant Aortic Aneurysm (GAA) Successfully Treated by Bentall’s Procedure- Case Report

2021 ◽  
Author(s):  
Anirudh Mathur
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Prosthetic Valve ◽  
Rare Complication ◽  
Stable Condition ◽  
Ascending Aorta ◽  
Ascending Aortic Aneurysm ◽  
Severe Aortic Regurgitation

Background: Aortic root aneurysm involves dilatation of sinuses of Valsalva, sinotubular junction, and proximal ascending aorta. It is a rare complication after aortic valve replacement surgery. A giant aneurysm is defined as an aneurysm of size> 10 cm. Surgical treatment involves Bentall’s procedure. Case Detail: A 40-year-old gentleman with severe aortic regurgitation and moderate aortic stenosis underwent aortic valve replacement with a mechanical prosthetic valve of size 25 mm, 13 years ago. At the time of previous surgery, the ascending aorta was mildly dilated, measured 3.5 cm in size. The patient came with complaints of breathlessness on exertion from the past two months, NYHA class III. Echocardiography and CECT revealed a giant ascending aortic aneurysm about 12.8 cm in diameter with intimal flap suggestive of dissection. Prosthetic valve function and other cardiac structures were assessed as normal. Elective surgery was planned. CPB was established. Ascending aortic aneurysm was excised along with a prosthetic mechanical valve. Bentall’s procedure was done using a 27 mm Dacron composite graft. The patient required a permanent pacemaker for a complete heart block in the postoperative period. Thereafter patient was discharged in stable condition. Conclusion: Aortic aneurysm should be tackled surgically in order to decrease morbidity and mortality. Regular follow-up of such patients should be done.

scholarly journals Surgical treatment for accidentally discovered pseudoaneurysm of the mitral-aortic intervalvular fibrosa with bicuspid aortic valve, ascending aortic aneurysm, and myocardial ischemia: a case report

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Kentaro Kiryu ◽  
Gembu Yamaura ◽  
Itaru Igarashi ◽  
Takayuki Kadohama ◽  
Fuminobu Tanaka ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Bicuspid Aortic Valve ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Ascending Aortic Aneurysm

Abstract Background Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) is a rare complication of infective endocarditis and aortic valve replacement. Ruptured P-MAIVF and angina due to compression of the coronary arteries are severe complications of this condition. Case presentation We report a case of P-MAIVF that was diagnosed accidentally during a routine checkup. The patient was asymptomatic; however, she had a systolic murmur. She had a history of infective endocarditis, which was treated conservatively without open-heart surgery. In addition, she was diagnosed with aortic valve stenosis, aortic valve regurgitation, bicuspid aortic valve, right coronary artery stenosis, and an ascending aortic aneurysm. She was treated with surgery, which involved patch closure of P-MAIVF with aortic valve replacement, coronary artery bypass grafting, and ascending aorta replacement. After the operation, echocardiography showed no leakage from the P-MAIVF. Conclusions It is necessary to have knowledge of P-MAIVF. Following up cases of infective endocarditis and post-aortic valve replacement using echocardiography is important for both, diagnosing P-MAIVF and preventing serious complications such rupture and angina.

scholarly journals A 12.8 CM DIAMETER: GIANT AORTIC ANEURYSM (GAA) SUCCESSFULLY TREATED BY BENTALL’S PROCEDURE- Case Report

2021 ◽  
Author(s):  
ANIRUDH MATHUR ◽  
Om Yadava ◽  
Vikas Ahlawat ◽  
Amita Yadav ◽  
Anirban Kundu
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Prosthetic Valve ◽  
Axillary Artery ◽  
Stable Condition ◽  
Ascending Aorta ◽  
Ascending Aortic Aneurysm ◽  
Severe Aortic Regurgitation

Background: Aortic root aneurysm involves dilatation of sinuses of Valsalva, sinotubular junction and proximal ascending aorta. It is a rare complication after aortic valve replacement surgery. Giant aneurysm is defined as aneurysm of size> 10 cm. Surgical treatment involves Bentall’s procedure. Case Detail: A 40 year old gentleman with severe aortic regurgitation and moderate aortic stenosis underwent aortic valve replacement with a mechanical prosthetic valve of size 25 mm, 13 years ago. At the time of this surgery the ascending aorta was mildly dilated, measured 3.5 cm in size. Patient came with complaints of breathlessness on exertion from past two months, NYHA class III. Echocardiography and CECT revealed giant ascending aortic aneurysm about 12.8 cm in diameter with intimal flap suggestive of dissection. Prosthetic valve function and other cardiac structures were assessed as normal. Elective surgery was planned. CPB established via right axillary artery and right femoral vein. Ascending aortic aneurysm was excised along with prosthetic mechanical valve. Bentall’s procedure was done using 27 mm Dacron composite graft. Patient required permanent pacemaker for complete heart block in post operative period. Thereafter patient was discharged in stable condition. Conclusion: Aortic aneurysm should be tackled surgically in order to decrease the morbidity and mortality. Regular follow up of such patients should be done.

scholarly journals Delayed Presentation of a Giant Ascending Aortic Aneurysm following Aortic Valve Replacement

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Tugrul Göncü ◽  
Mustafa Sezen ◽  
Hasan Ari ◽  
Osman Tiryakioglu ◽  
Gündüz Yumun ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Delayed Presentation ◽  
Ascending Aortic Aneurysm ◽  
Mechanical Prosthesis ◽  
Cystic Medial Necrosis ◽  
Aneurysm Wall ◽  
Medial Necrosis

Giant ascending aortic aneurysm formation following aortic valve replacement is rare. A 28-year-old man who underwent aortic valve replacement with a prosthetic valve for aortic regurgitation secondary to congenital bicuspid aortic valve about 10 years ago was diagnosed with a giant ascending aortic aneurysm about 16 cm in diameter in follow-up. The aneurysm was resected leaving the functional old mechanical prosthesis in place and implanted a 34-mm Hemashield woven graft, associated with the left and right coronary artery button implantation. Histological findings of the aortic aneurysm wall showed cystic medial necrosis. The postoperative course was uneventful and postoperative examination demonstrated good surgical results.

Aortic aneurysm and aortic regurgitation following aortic valve replacement due to Takayasu's arteritis

2002 ◽  
Vol 50 (1) ◽  
pp. 43-45 ◽  
Author(s):  
Hiroya Minami ◽  
Noboru Wakita ◽  
Yujiro Kawanishi ◽  
Ikuro Kitano ◽  
Masahiro Sakata ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Valve Replacement ◽  
Aortic Regurgitation ◽  
Valve Replacement ◽  
Takayasu’S Arteritis ◽  
Takayasu's Arteritis
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