An 80-year-old woman was hospitalized for aortic valve insufficiency, paroxysmal atrial fibrillation, and ascending aortic aneurysm. She underwent aortic valve replacement, pulmonary vein isolation, left atrium appendectomy, and ascending aorta replacement. She developed a subcapsular hepatic hematoma during the surgery. The patient was managed conservatively and discharged successfully.
A 73-year-old male with a history of right nephrectomy due to cancer in 1996 was referred to our hospital for dyspnea and acute chest pain. In May 2007, the Shelhigh® No-React® valved bioconduit was implanted using the Bentall-De Bono procedure due to the finding of severe aortic valve insufficiency and acute type A aortic dissection. Nine months after discharge, he was placed on chronic renal dialysis. The patient’s condition was followed carefully after being placed on dialysis, and now, thirteen years later the implanted aortic valve is still moving freely without signs of calcification.
Surgical treatment of complex coarctation is still a challenge. We
performed extra-anatomic aortic bypass and Bentall procedure for a
10-year old boy diagnosed with critical aortic coarctation, aortic
aneurysm, and severe aortic valve insufficiency who previously received
Switch procedure. The patient is alive and well 52 months
postoperatively with a satisfactory result. Extra-anatomic aortic bypass
is a safe and effective procedure for patients with complex coarctation.