A modified Piehler technique for aberrant origin of left coronary arteries

2020 ◽  
pp. 021849232098148
Author(s):  
Kosuke Nakamae ◽  
Takashi Oshitomi ◽  
Hidetaka Murata ◽  
Hideyuki Uesugi
Keyword(s):  
Coronary Arteries ◽  
Aortic Root ◽  
Aortic Root Replacement ◽  
Coronary Anomaly ◽  
Dacron Graft ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Replacement Strategy ◽  
Side Hole ◽  
Valved Conduit

A bicuspid aortic valve sometimes coincides with a sinus of Valsalva aneurysm having a coronary artery anomaly. A meticulous aortic root replacement strategy is needed in these cases. In a 64-year-old man, the left coronary arteries (LCA) with an aberrant origin were excised together and reattached to the side hole of a valved conduit via a short Dacron graft. To prevent the formation of an aneurysm at the site, a strip of Dacron graft was sutured from outside between the LCA. The procedure for aortic root replacement with a coronary anomaly needs a case-by-case surgical strategy.

Emergency aortic root replacement with the Bioconduit stentless aortic valve conduit

2020 ◽  
Vol 25 (6) ◽  
pp. 2055-2059
Author(s):  
ADRIAN TULIN ◽  
◽  
OVIDIU STIRU ◽  
MIRUNA LUANA MIULESCU ◽  
LAURA RADUCU ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Aortic Root ◽  
Aortic Root Replacement ◽  
Bentall Operation ◽  
Severe Aortic Regurgitation ◽  
Valve Conduit ◽  
Successful Case ◽  
Valved Conduit

This report concerns a 73-year-old woman who presented with asymptomatic aortic root an-eurysm with severe aortic regurgitation. The purpose of this article is to present our first successful case for emergency aortic root replacement (Bentall operation) that involves annular implantation of a pericardial valved conduit (Bioconduit TM, Biointegral Surgical, Inc., Ontario, Canada) and to discuss some essential technical clue issues related to this approach.

scholarly journals Stentless biological valved conduit for aortic root replacement: Initial experience with the Shelhigh BioConduit model NR-2000C

2011 ◽  
Vol 141 (5) ◽  
pp. 1157-1162 ◽  
Author(s):  
Abdullah Kaya ◽  
Robin H. Heijmen ◽  
J.C. Kelder ◽  
Marc A. Schepens ◽  
Wim J. Morshuis
Keyword(s):  
Aortic Root ◽  
Aortic Root Replacement ◽  
Initial Experience ◽  
Valved Conduit

First-in Human Implantation of a Novel Biologic Valved Conduit for Aortic Root Replacement

2021 ◽  
Author(s):  
Scott C. DeRoo ◽  
Nimesh Desai ◽  
Joshua C. Grimm ◽  
Brittany Cannon ◽  
Joseph E. Bavaria
Keyword(s):  
Aortic Root ◽  
Aortic Root Replacement ◽  
Valved Conduit ◽  
Human Implantation

scholarly journals Rare Case of Ruptured Sinus of Valsalva: Ruptured Into Left Ventricular Cavity

1970 ◽  
Vol 4 (1) ◽  
pp. 96-98
Author(s):  
SDM Taimur ◽  
SR Khan ◽  
MR Karim ◽  
MH Rahman
Keyword(s):  
Left Ventricle ◽  
Aortic Root ◽  
Rare Case ◽  
Interventricular Septum ◽  
Rare Condition ◽  
Left Ventricular ◽  
Left Ventricular Cavity ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
Left Sinus Of Valsalva

Rupture sinus of Valsalva is a relatively rare condition. We report a rare case of ruptured left sinus of valsalva with aneurysm, presenting with acute left ventricular failure. Transthoracic echocardiography showed an aneurysmal dilatation of the base of interventricular septum and part of the aortic root and a marked turbulent flow from the aortic root to the left ventricle with a continuous systolodiastolic shunting. The patient underwent successful repair of ruptured sinus of valsulva with closure of fistula. During Ventriculotomy the defect was repaired using pledgeted 5/ 0 prolene interrupted sutures and pericardial patch. Key Words: Rupture sinus of valsalva; Aneurysm; Left ventricle DOI: http://dx.doi.org/10.3329/cardio.v4i1.9398 Cardiovasc. J. 2011; 4(1): 96-98

scholarly journals Giant unruptured sinus of Valsalva aneurysm successfully managed with valve-sparing procedure – a case report

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Miklós Pólos ◽  
Cristina-Maria Șulea ◽  
Kálmán Benke ◽  
Bence Ágg ◽  
Attila Kovács ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Root ◽  
Clinical Manifestations ◽  
Aortic Insufficiency ◽  
Sinus Of Valsalva ◽  
Suitable Alternative ◽  
Complete Replacement ◽  
Sinus Of Valsalva Aneurysm ◽  
Severe Aortic Regurgitation ◽  
Valve Sparing

Abstract Background Sinus of Valsalva aneurysm (SVA) is an uncommon cardiac anomaly, with an incidence of less than 1% of open heart surgery cases. Its evolution is most frequently silent, being found incidentally or discovered in the event of its acute rupture. Non-ruptured giant SVAs may cause unusual clinical manifestations, as a consequence of their protrusion into the heart chambers or compression of the coronary vessels and are frequently associated with aortic insufficiency of various degrees of severity. The gold standard treatment for SVAs consists of complete replacement of the aortic root and valve. However, in certain cases, valve-sparing procedures may prove to be a more suitable alternative. Case presentation A 68-year-old male patient presented with dyspnea as symptom caused by a large (> 5 cm) right sinus of Valsalva aneurysm. The aneurysm was occupying most of the right ventricle and was associated with severe aortic regurgitation. The surgical treatment of the condition involved valve-sparing root reconstruction procedure (remodeling technique), completed with external stabilization of the aortic valve annulus via running suture annuloplasty. Following the uneventful intervention, the patient did well and his status improved. The follow-up transthoracic echocardiography obtained 1 month after surgery showed a fully competent aortic valve with no regurgitation. Conclusions Despite complete aortic root and valve replacement being considered the safest approach to large SVAs complicated with aortic insufficiency, valve-sparing procedures should not be overlooked in case of a dilated aortic root with uncalcified aortic valve. Performing valve-sparing by applying a remodeling technique operation completed with annuloplasty reduces aortic valve insufficiency, avoiding side-effects related to implanted valves.

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