Emergency aortic root replacement with the Bioconduit stentless aortic valve 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.

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Bentall Surgery for Aortic Root Aneurysm in a Patient with Marfan Syndrome

Cardiovascular Journal ◽

10.3329/cardio.v8i1.24780 ◽

2015 ◽

Vol 8 (1) ◽

pp. 78-81

Author(s):

Mohammad Fazle Maruf ◽

Nazmul Hossain ◽

Tahmina Akter ◽

Asif Ahsan Chowdhury ◽

Kamrul Hasan ◽

...

Keyword(s):

Marfan Syndrome ◽

Aortic Root ◽

Composite Graft ◽

Chest Discomfort ◽

Bentall Operation ◽

Severe Aortic Regurgitation ◽

Valve Conduit ◽

Ct Angiogram ◽

Successful Case ◽

Aortic Root Enlargement

A 34 yrs old man of marfan syndrome, visited us with the complaints of palpitation, easy fatigability and chest discomfort for last 1year. He was pointed out to have the aortic root enlargement with severe aortic regurgitation & mild mitral regurgitation by echocardiography and CT angiogram. We excised the aneurysm, implanted a composite graft with prosthetic valve conduit (Bentall operation), directly attached the coronary arteries to the aortic graft, and made the distal anastomosis to the divided aorta. Postoperative course was uneventful. To our knowledge, this is the first successful case of Bentall operation in national Institute of cardiovascular Diseases.Cardiovasc. j. 2015; 8(1): 78-81

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Valve-sparing aortic root replacement and remodeling with complex aortic valve reconstruction in children and young adults with moderate or severe aortic regurgitation

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2014.02.055 ◽

2014 ◽

Vol 147 (6) ◽

pp. 1768-1776 ◽

Cited By ~ 11

Author(s):

Patrick O. Myers ◽

Pedro J. del Nido ◽

Sitaram M. Emani ◽

Gerald R. Marx ◽

Christopher W. Baird

Keyword(s):

Young Adults ◽

Aortic Valve ◽

Aortic Regurgitation ◽

Aortic Root ◽

Aortic Root Replacement ◽

Severe Aortic Regurgitation ◽

Valve Reconstruction ◽

Children And Young Adults ◽

Valve Sparing

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eComment. Aortic valve conduit should not be performed in the presence of severe aortic regurgitation

Interactive Cardiovascular and Thoracic Surgery ◽

10.1093/icvts/ivt426 ◽

2013 ◽

Vol 17 (6) ◽

pp. 955-955

Author(s):

Jamil Hajj-Chahine

Keyword(s):

Aortic Valve ◽

Aortic Regurgitation ◽

Severe Aortic Regurgitation ◽

Valve Conduit

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Repair of Aortic Regurgitation due to Takayasu Arteritis

The Heart Surgery Forum ◽

10.1532/hsf98.20121059 ◽

2013 ◽

Vol 16 (1) ◽

pp. 24 ◽

Cited By ~ 4

Author(s):

ChengNan Li ◽

YongMin Liu ◽

RuiDong Qi ◽

Jun Zheng ◽

JunMing Zhu ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Aortic Regurgitation ◽

Valve Replacement ◽

Takayasu Arteritis ◽

Aortic Root ◽

Aortic Root Replacement ◽

Takayasu Disease ◽

Valve Detachment

Background: Prosthetic valve detachment after aortic valve replacement and pseudoaneurysm formation are the most important postoperative complications in patients with Takayasu arteritis with aortic regurgitation. We reviewed our experience of surgical treatment of aortic regurgitation in patients with Takayasu disease.Methods: Between November 1997 and September 2011, 11 patients (4 women and 7 men) with Takayasu arteritis with aortic regurgitation underwent surgical treatment. The age of the patients ranged from 26 to 56 years (mean, 40 � 9 years). Primary isolated aortic valve replacement was performed in 1 patient, David procedure in 1 patient, Wheat procedure in 1 patient, Bentall procedure in 2 patients, and Cabrol procedure in 6 patients (including 2 patients who underwent primary aortic valve replacement in other hospitals before being admitted to our surgical team).Results: There was no in-hospital death. All patients had an uneventful recovery during the postoperative course and were discharged. Prosthetic valve detachment, pseudoaneurysm formation at the suture line, and dilatation of the ascending aorta were not found in patients with composite aortic root replacement during a mean follow-up of 98 � 45 months. One patient died during follow-up.Conclusion: Valve detachment after composite aortic root replacement was not observed in patients with Takayasu disease with aortic regurgitation. Satisfactory surgical outcomes were obtained using composite aortic root replacement. However, close follow-up was needed to assess the effectiveness of the Cabrol procedure in patients with Takayasu disease with aortic regurgitation.

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Early and Midterm Outcomes of Valve-Sparing Aortic Root Replacement—Reimplantation Technique

Aorta ◽

10.1055/s-0039-1683383 ◽

2018 ◽

Vol 06 (05) ◽

pp. 113-117

Author(s):

Marisa Cevasco ◽

Siobhan McGurk ◽

Maroun Yammine ◽

Lokesh Sharma ◽

Julius Ejiofor ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Root ◽

Artery Bypass ◽

Connective Tissue Disorder ◽

Observation Time ◽

Aortic Root Replacement ◽

Severe Aortic Regurgitation ◽

Prosthetic Valves ◽

Valve Sparing

Background Valve-sparing aortic root replacement (VSARR) is an increasingly popular alternative to traditional aortic root replacement for aortic root aneurysm disease with a normal aortic valve. We evaluated the early and midterm outcomes of VSARR—reimplantation technique (VSARR-RT) done at a single institution over a decade. Materials and Methods We performed a retrospective study of all patients who underwent VSARR-RT between January 2004 and July 2014. Results A total of 85 patients underwent VSARR-RT. Median time to latest echocardiographic follow-up was 4 years (range: 15–72 months). Total observation time was 491 patient years. Mean age was 44.6 ± 14.3 years, and 13 (15%) were women. Thirty-nine (46%) patients had a connective tissue disorder and 6 (7%) had a bicuspid aortic valve. Thirty-three (39%) patients underwent concomitant procedures, including coronary artery bypass grafting (n = 9, 11%), mitral valve repair (n = 8, 9%), and aortic hemi-arch replacement (n = 7, 8%). There were no operative deaths or in-house mortality and no postoperative strokes. Kaplan-Meier analysis demonstrated survival of 99% (95% confidence interval [CI]: 97–100%) at 2 years and 98% (95% CI: 97–100%) at 8 years. Freedom from reoperation was 95.8% (95% CI: 91.2–100%) at 8 years. Freedom from endocarditis was 100% at 8 years. At the last echocardiographic follow-up, 95% of patients were free of severe aortic regurgitation (AR) and 82% free of moderate AR. Of the four patients who had severe AR, three underwent reoperations and received prosthetic valves and one is being clinically monitored. Conclusion This study reports early and midterm outcomes after VSARR-RT at our institution, including those patients who underwent a VSARR-RT procedure combined with other procedures. Further follow-up remains necessary to determine long-term outcomes.

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Bicuspid Aortic Valve Associated with Severe Aortic Regurgitation and Large Aortic Root Aneurysm

Cureus ◽

10.7759/cureus.7321 ◽

2020 ◽

Author(s):

Alejandro Sanchez-Nadales ◽

Miguel Treminio Quezada ◽

Valentina Celis ◽

Jessica Navarro

Keyword(s):

Aortic Valve ◽

Aortic Regurgitation ◽

Bicuspid Aortic Valve ◽

Aortic Root ◽

Severe Aortic Regurgitation ◽

Aortic Root Aneurysm

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Bentall’s Procedure for Annuloaortic Ectasia and Severe Aortic Regurgitation in a Patient With Repaired Tetralogy of Fallot and Aortic Valvular Reconstruction

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135119865162 ◽

2019 ◽

Vol 10 (5) ◽

pp. 648-650

Author(s):

Ujjwal Kumar Chowdhury ◽

Niwin George ◽

Vasubabu Gudala ◽

Anish Gupta ◽

Sheil Avneesh ◽

...

Keyword(s):

Tetralogy Of Fallot ◽

Aortic Regurgitation ◽

Female Patient ◽

Aortic Root ◽

Aortic Root Replacement ◽

Annuloaortic Ectasia ◽

Severe Aortic Regurgitation ◽

Repaired Tetralogy Of Fallot

A 21-year-old female patient with repaired tetralogy of Fallot and aortic valvular reconstruction with aneurysmal aortic root and severe aortic regurgitation underwent aortic root replacement. Intrinsic aortopathy in tetralogy of Fallot and its surgical importance are highlighted.

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Redo Bentall’s Procedure for Annuloaortic Ectasia with Severe Aortic Regurgitation: A Video Presentation

Journal of Cardiac Critical Care TSS ◽

10.1055/s-0039-1697685 ◽

2019 ◽

Vol 03 (01) ◽

pp. 39-41

Author(s):

Lakshmi Kumari Sankhyan ◽

Ujjwal K. Chowdhury ◽

Niwin George ◽

Sukhjeet Singh ◽

Vasubabu Gudala ◽

...

Keyword(s):

Ventricular Septal Defect ◽

Aortic Regurgitation ◽

Aortic Root ◽

Septal Defect ◽

Mechanical Valve ◽

Composite Graft ◽

Aortic Root Replacement ◽

Annuloaortic Ectasia ◽

Video Presentation ◽

Severe Aortic Regurgitation

AbstractA 25-year old female patient with repaired ventricular septal defect and aortic valvular reconstruction underwent successful aortic root replacement using a composite graft with mechanical valve.

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Sleeve Technique Combined With Aortic Valve Replacement: A Simpler Alternative to the Bentall Procedure

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1177/1556984520967019 ◽

2020 ◽

pp. 155698452096701

Author(s):

Giuseppe De Cicco ◽

Ana Paula Tagliari ◽

Gerardo Di Matteo ◽

Francesco Trinca ◽

Fabrizio Rosati ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Aortic Regurgitation ◽

Valve Replacement ◽

Aortic Root ◽

Surgical Techniques ◽

Root Disease ◽

Severe Aortic Regurgitation ◽

Bentall Procedure ◽

Aortic Root Disease

Aortic root disease can be treated with different surgical techniques. The surgical approach of choice depends on patients’ comorbidities and aortic valve conditions. We describe an operation combining a Sleeve aortic rootplasty with an aortic valve replacement, as an alternative to the classical Bentall procedure. The patient, a 63-year-old man, was admitted to our institution in April 2019 with severe aortic regurgitation, left ventricle dysfunction (ejection fraction = 44%), and aortic root ectasia (476 mm). Since a sparing aortic valve procedure was judged not feasible because of the thickness and retraction of the leaflets, we decided to perform a procedure through a sleeve operation to treat the aortic ectasia and a standard bioprosthetic aortic valve replacement to treat the aortic regurgitation. The patient had an uneventful postoperative course and was discharged on the sixth postoperative day with aspirin as sole antiplatelet treatment. This procedure may be considered an alternative to the Bentall operation. In fact, it may also offer complete treatment for the aortic root disease, avoiding coronary complications due to coronary ostia manipulation and reimplantation.

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