Aortic root dilation after bicuspid aortic valve replacement and correction of ascending aortic aneurysm

2021 ◽  
Vol 14 (6) ◽  
pp. 464
Author(s):  
A.A. Filippov ◽  
T.S. Shcherbinin ◽  
M.L. Gordeev
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Bicuspid Aortic Valve ◽  
Aortic Root ◽  
Ascending Aortic Aneurysm

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.

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 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 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 Ascending Aortic Aneurysm Repair Combined with Ozaki Procedure: Our First Experience

2020 ◽  
pp. 57-60
Author(s):  
A. Gabriyelyan ◽  
V. Beleyovych ◽  
T. Domansky ◽  
O. Beregovoy ◽  
S. Romanova ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Valve Replacement ◽  
Aortic Root ◽  
Aortic Valve Disease ◽  
Surgical Correction ◽  
Ascending Aortic Aneurysm ◽  
Valve Reconstruction ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

  Introduction. Aortic valve disease is often combined with the ascending aortic aneurysm. According to a number of authors, the frequency of the diagnosis varies from 9 to 50%, and the condition requires one-stage surgical correction. Typically, in these cases, mechanical or biologic prostheses are used. The Ozaki procedure allows such operations to be performed without replacing the aortic valve with an artificial prosthesis. The aim. To analyze the results of aortic valve reconstruction using the Ozaki technique combined with ascending aortic aneurysm repair. Materials and methods. The article describes the first experience of treatment of 12 patients with aortic valve disease and ascending aortic aneurysm. All the patients underwent Ozaki procedure modified by J. Benedik with surgical correction of aneurysm of the ascending aorta and the aortic arch. Results and discussion. No deaths were observed in the postoperative period. There was no conversion to aortic valve replacement. Ultrasound imaging after 3 and 6 months revealed no aortic valve dysfunction. Clinically, patients’ well-being was satisfactory and they returned to normal life. Long-term results of these operations interventions require further study. Conclusions. Our first clinical experience showed promising short- and medium-term results. The indications for aortic valve reconstruction are the same as those for valve replacement with a bioprosthesis. Ozaki procedure can be successfully combined with ascending aortic aneurysm repair. The main advantage is the absence of a frame that does not narrow the opening area of the valve and preserves the aortic root function, which is very important for patients with a narrow aortic root.

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