scholarly journals Surgical Repair of Mitral-Aortic Intervalvular Fibrosa Pseudoaneurysm in a High-Risk Patient 13 Years after Aortic Root Replacement

2019 ◽  
Vol 46 (2) ◽  
pp. 147-150
Author(s):  
Mirko Muretti ◽  
Walid Elmahdy ◽  
Iakovos Ttofi ◽  
David Mozalbat ◽  
Michael Murphy ◽  
...  
Keyword(s):  
Aortic Root ◽  
Watchful Waiting ◽  
Surgical Repair ◽  
High Risk Patient ◽  
Timing Of Surgery ◽  
Valve Surgery ◽  
Aortic Root Replacement ◽  
Optimal Timing ◽  
Aortic Valve Surgery ◽  
Life Threatening

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.

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

2012 ◽  
Vol 28 (5) ◽  
pp. S145
Author(s):  
A.M. Elhenawy ◽  
E. Kuurstra ◽  
C. Norris ◽  
R. MacArthur ◽  
D. Modry ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Root ◽  
Valve Surgery ◽  
Aortic Root Replacement ◽  
Aortic Valve Surgery

Concomitant Aortic Root Replacement With Anterior Konno Annular Enlargement

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.

scholarly journals Clinical outcomes of combined aortic root replacement with mitral valve surgery

2008 ◽  
Vol 136 (1) ◽  
pp. 82-87 ◽  
Author(s):  
Tirone E. David ◽  
Susan Armstrong ◽  
Manjula Maganti ◽  
Leo Ihlberg
Keyword(s):  
Mitral Valve ◽  
Clinical Outcomes ◽  
Aortic Root ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Aortic Root Replacement

scholarly journals Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Kimihiro Kobayashi ◽  
Yoshinori Kuroda ◽  
Masahiro Mizumoto ◽  
Atsushi Yamashita ◽  
Eiichi Ohba ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Aortic Root ◽  
Postoperative Recovery ◽  
Aortic Root Replacement ◽  
Case Presentation ◽  
Life Threatening ◽  
Conservative And Surgical Treatment ◽  
Progressive Enlargement

Abstract Background Aneurysmal degeneration of the coronary button after aortic root replacement using the button technique is a rare but potentially life-threatening complication. However, the appropriate management of this complication, including the indications for conservative and surgical treatment, is still unknown. Case presentation Here we present a 38-year-old woman who successfully underwent surgical repair of a left coronary button aneurysm using the graft interposition technique 24 years after aortic root replacement. Because follow-up computed tomography after aortic root replacement showed a progressively enlarging left coronary button aneurysm, the patient was judged an acceptable candidate for surgical treatment, considering the potential risk of aneurysmal rupture and subsequent myocardial infarction. The postoperative recovery was uneventful. The patient is doing well 1 year after the surgery. Conclusions We believe that serial follow-up using computed tomography is mandatory for coronary button aneurysms, and surgical intervention may be considered if progressive enlargement of the aneurysm is observed, especially in younger patients.

Transcatheter Aortic Valve Implantation into a Stentless Prosthetic Valve with a Low Position of the Left Main Coronary Artery

2012 ◽  
Vol 15 (5) ◽  
pp. 268
Author(s):  
Giuseppe D'Ancona ◽  
Miralem Pasic ◽  
Stephan Dreysse ◽  
Thorsten Drews ◽  
Semih Buz ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Left Main Coronary Artery ◽  
High Risk Patient ◽  
Valve Surgery ◽  
Aortic Valve Surgery ◽  
Left Main ◽  
Transcatheter Aortic Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Recently during a transcatheter aortic valve implantation (TAVI), we were faced with a problem that seemed to be untreatable by TAVI. It was difficult to decide whether to perform atypical TAVI or to convert to conventional redo aortic valve surgery in an extremely high-risk patient with a degenerated stentless aortic bioprosthesis.

Combined Aortic Root and Aortic Valve Surgery in Elderly Patients

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

Aortic Root Reoperation after Aortic and Aortic Valve Surgery

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

scholarly journals Combined aortic root replacement and mitral valve surgery: The quest to preserve both valves

2017 ◽  
Vol 153 (5) ◽  
pp. 1023-1030.e1 ◽  
Author(s):  
Hoda Javadikasgari ◽  
Eric E. Roselli ◽  
Muhammad Aftab ◽  
Rakesh M. Suri ◽  
Milind Y. Desai ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Aortic Root ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Aortic Root Replacement

scholarly journals Aortic root and aortic valve surgery: History and modernity

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

<p>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.</p><p>Received 8 November 2019. Revised 10 December 2019. Accepted 12 December 2019.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> Authors declare no conflict of interest.</p>

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