SUBAORTIC MEMBRANE;

Objectives: In this study, we presented our results regarding outcomes ofsurgical correction of sub-aortic membrane. Study Design: Retrospective observational study.Period: June 2012 to June 2017. Setting: CPEIC Multan, Pakistan. Methods: 51 patientsoperated for resection of sub aortic membrane. The resection of sub aortic membrane wasdone through the aorta. Evaluation of the aortic valve done in all patients. The aortic valve waseither replaced or repaired in cases of severe aortic regurgitation. Associated lesions such asventricular septal defects (VSD’s) were repaired with a dacron patch through the right atriumwhile ASD’s were repaired with a pericardial patch. Post-operative echocardiography was donebefore discharge and post-op LVOT gradients and aortic insufficiency were recorded for allthe patients. Results: There were 36 males and 15 females whose mean ages were 16.29years. On post-op echocardiography there was no residual significant LVOT gradient in anypatient. Three (3) patients developed mild to moderate aortic regurgitation post operativelybut none of them warrant any surgical intervention. There was only 1 death in the series whichwas due to VSD patch dehiscence. None of the patients developed conduction problems postoperatively needing any permanent pace maker. Mean pre-op LVOT gradient was 94.7 mmHgwhile it reduced to 20.7 post operatively (p-value <0.001). Conclusion: We concluded thatearly resection of sub aortic membrane can be safely accomplished with good results andsignificant drop in the mean LVOT pressure gradients post operatively.

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WCC 2017-C-109: Congenital Quadricuspid Aortic Valve Associated with Severe Aortic Regurgitation: A Rare Case Report

Indian Journal of Cardiovascular Disease in Women WINCARS ◽

10.1055/s-0038-1656445 ◽

2017 ◽

Vol 02 (S 01) ◽

pp. S13-S15

Author(s):

Pavaneel Bhandary ◽

Palanki Satyagopal ◽

Muppiri Kumar ◽

Ravinuthala Kumar

Keyword(s):

Case Report ◽

Aortic Valve ◽

Aortic Regurgitation ◽

Male Patient ◽

Rare Case ◽

Aortic Insufficiency ◽

Quadricuspid Aortic Valve ◽

Severe Aortic Regurgitation ◽

Rare Case Report

AbstractQuadricuspid aortic valve is a very rare congenital valvular anomaly. Most of these cases present with aortic insufficiency. We present a 38 year old male patient with aquadricuspid aortic valve with severe aortic regurgitation.

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Congenital Quadricuspid Aortic Valve Associated with Severe Regurgitation

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230801600522 ◽

2008 ◽

Vol 16 (5) ◽

pp. e40-e41 ◽

Cited By ~ 6

Author(s):

Yujiro Kawanishi ◽

Hiroshi Tanaka ◽

Keitaro Nakagiri ◽

Teruo Yamashita ◽

Kenji Okada ◽

...

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Aortic Regurgitation ◽

Valve Replacement ◽

Right Coronary Artery ◽

Quadricuspid Aortic Valve ◽

Severe Aortic Regurgitation ◽

The Right

A 56-year-old man was referred because of severe aortic regurgitation. He had a quadricuspid aortic valve with a small accessory cusp between the right coronary and noncoronary cusps. The ostium of the right coronary artery was deviated toward the accessory cusp commissure. Aortic valve replacement was performed with a bioprosthesis. The resected cusps showed fibrotic thickening with calcification and fenestration.

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Ozaki Procedure for the treatment of Aortic Valve Endocarditis : A Life-saving Alternative

10.22541/au.161262378.88489267/v1 ◽

2021 ◽

Author(s):

Harun Arbatli ◽

Ali Kubilay Korkut ◽

Okan Coskun ◽

Cem Alhan

Keyword(s):

Aortic Valve ◽

Aortic Regurgitation ◽

Surgical Reconstruction ◽

Reconstruction Technique ◽

Pathologic Finding ◽

Mortality And Morbidity ◽

Severe Aortic Regurgitation ◽

First Choice ◽

Magnetic Resonance Imaging Mri ◽

The Right

Infective endocarditis (IE) still has a high risk of mortality and morbidity, despite of developments in medical treatment. Intracranial hemorrhage is one of serious complication, which has poor outcome. We present a 30-year-old male with diagnosis of IE. He had severe aortic regurgitation and oscillating vegetations on both side of the aortic valve. Although there was no neurological symptom in preoperative period, cranial magnetic resonance imaging (MRI) revealed millimetric size ischemic lesions at the right cerebral hemisphere. We performed Ozaki procedure. However, cerebral hemorrhage occurred on the first postoperative day. Computerized tomography (CT) revealed hematoma in parietal and occipital lobes. He was treated with conservative anti-edema therapy and discharged from the hospital on the 25th day with minor visual defect of his eye. Echocardiography control revealed mild aortic regurgitation without any other pathologic finding after 18 months. Aortic neocuspidization by using using of glutaraldehyde treated autologous pericardium decreases the risk of fibrosis and calcification, and thrombosis events. Possibility of suspending the anticoagulant and antiplatelet regimen is a significant advantage in this type of repair. Ozaki procedure might be the first-choice surgical reconstruction technique in anatomically suitable IE cases.

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Emergency aortic root replacement with the Bioconduit stentless aortic valve conduit

ROMANIAN BIOTECHNOLOGICAL LETTERS ◽

10.25083/rbl/25.6/2055.2059 ◽

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.

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A case of quadricuspid aortic valve with severe aortic regurgitation diagnosed by transthoracic echocardiography

Choonpa Igaku ◽

10.3179/jjmu.38.461 ◽

2011 ◽

Vol 38 (4) ◽

pp. 461-464

Author(s):

Koutatsu NOMURA ◽

Yoshikazu YAZAKI ◽

Masako MIYASHITA ◽

Sachiko OOTSUKI ◽

Yutaka KUMAGAI ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Regurgitation ◽

Transthoracic Echocardiography ◽

Quadricuspid Aortic Valve ◽

Severe Aortic Regurgitation

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Anesthetic management of aortocaval fistula repair associated with aortic valve replacement, severe aortic regurgitation, and bacterial endocarditis

Journal of Anesthesia ◽

10.1007/s00540-011-1104-9 ◽

2011 ◽

Vol 25 (2) ◽

pp. 263-266

Author(s):

Jahan Porhomayon ◽

Mahmoud A. A. Hassan ◽

Padmavathi R. Perala ◽

Nader D. Nader

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Aortic Regurgitation ◽

Valve Replacement ◽

Anesthetic Management ◽

Bacterial Endocarditis ◽

Aortocaval Fistula ◽

Fistula Repair ◽

Severe Aortic Regurgitation

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Severe aortic regurgitation complicating percutaneous aortic valve valvuloplasty

Catheterization and Cardiovascular Diagnosis ◽

10.1002/ccd.1810160213 ◽

1989 ◽

Vol 16 (2) ◽

pp. 130-132 ◽

Cited By ~ 7

Author(s):

Larry S. Dean ◽

Jerry W. Chandler ◽

Carlos B. Saenz ◽

William A. Baxley ◽

Thomas M. Bulle

Keyword(s):

Aortic Valve ◽

Aortic Regurgitation ◽

Severe Aortic Regurgitation

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Quadricuspid aortic valve associated with severe aortic regurgitation.

Japanese Circulation Journal ◽

10.1253/jcj.49.190 ◽

1985 ◽

Vol 49 (2) ◽

pp. 190-191 ◽

Cited By ~ 6

Author(s):

MASAHIKO MATSUMOTO ◽

SHIGEHIKO MIKI ◽

KENJI KUSUHARA ◽

YUICHI UEDA ◽

YUTAKA OHKITA ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Regurgitation ◽

Quadricuspid Aortic Valve ◽

Severe Aortic Regurgitation

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Transcatheter aortic valve implantation for severe aortic regurgitation in a patient with end-stage respiratory failure

Bulgarian Cardiology ◽

10.3897/bgcardio.26.e53002 ◽

2020 ◽

Vol 26 (1) ◽

pp. 58-70

Author(s):

Aleksandra Cherneva ◽

Zoran Stankov ◽

Naidenka Zlatareva ◽

Iveta Tasheva ◽

Georgi Dobrev ◽

...

Keyword(s):

Respiratory Failure ◽

Aortic Valve ◽

Aortic Regurgitation ◽

Functional Class ◽

Severe Aortic Regurgitation ◽

Transcatheter Aortic Valve ◽

History Of ◽

And Migration ◽

End Stage ◽

Valve Implantation

We report a case of a high-risk 73-year–old patient with a combined aortic valve disease with predominant severe, symptomatic aortic regurgitation and a history of an end-stage respiratory failure with prohibitive surgical risk who was successfully treated using a minimalist approach to implant off-label а self-expandable Medtronic Evolut R prosthesis. This case report demonstrates that the self-expandable prosthesis Medtronic Evolut R might be implanted without tissue damage and migration in a moderate-calcified tricuspid aortic valve with predominant regurgitation and mild stenosis with satisfactory hemodynamic results and improvement in functional class heart failure in a patient with concomitant severe respiratory failure.

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