Dissecting aneurysm of aortic root with severe aortic regurgitation

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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Aorto-cavitary fistula to the left ventricle with severe aortic regurgitation as a complication of prosthetic valve infective endocarditis: a novel report

Oxford Medical Case Reports ◽

10.1093/omcr/omaa109 ◽

2020 ◽

Vol 2020 (12) ◽

Author(s):

Alejandro Sanchez-Nadales ◽

Valentina Celis-Barreto ◽

Amir Khan ◽

Andrea Anampa-Guzman ◽

Olalekan Olanipekun

Keyword(s):

Infective Endocarditis ◽

Left Ventricle ◽

Aortic Regurgitation ◽

Aortic Root ◽

Fistulous Tract ◽

Cardiac Complications ◽

Unusual Complication ◽

Intracardiac Shunt ◽

Severe Aortic Regurgitation ◽

Prosthetic Aortic Valve

ABSTRACT Infective endocarditis can present in different clinical forms and lead to a variety of complications depending on the affected valvular and perivalvular structures. We describe a case of a 74-year-old male who developed an aortic-cavitary fistulous tract as a complication of prosthetic aortic valve infective endocarditis. Transesophageal echocardiography (TEE) revealed an aorto-cavitary fistula (ACF) connecting the aortic root with the left ventricle, creating an intracardiac shunt, which resulted in severe aortic regurgitation physiology. The patient underwent surgery with successful exclusion of the ACF. ACF is an unusual complication of infective endocarditis that creates an abnormal communication between the aortic root and the heart chambers, establishing an intracardiac shunt. This case highlights that physicians should be aware of the possibility of rare cardiac complications in infective endocarditis. TEE is a valid diagnostic test for ACF.

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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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Aortic Root Dilatation as a Cause of Isolated, Severe Aortic Regurgitation

Annals of Internal Medicine ◽

10.7326/0003-4819-106-6-800 ◽

1987 ◽

Vol 106 (6) ◽

pp. 800 ◽

Cited By ~ 111

Author(s):

MARY J. ROMAN

Keyword(s):

Aortic Regurgitation ◽

Aortic Root ◽

Severe Aortic Regurgitation ◽

Aortic Root Dilatation

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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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