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A Successful Case of Valve Sparing Aortic Root Replacement Concomitant with Aortic Valve Repair for Annuloaortic Ectasia
Kazunori Yoshida
※1
Ryo Otsuka
※2
Koichi Tamita
※2
Junichi Yoshikawa
※2
※1 Department of Cardiovascular Surgery,Nishinomiya Watanabe Cardiovascular Center
※2 Department of Cardiology,Nishinomiya Watanabe Cardiovascular Center
A 55-year-old man was admitted to our hospital with complaints of worsening orthopnea. Computed tomography demonstrated annuloaortic ectasia with a Valsalva aneurysm(63mm). Doppler echocardiography exhibited severe aortic valve regurgitation. Because of extension and deviation of the right coronary cusp,we performed cusp repair concomitantly with a valve-sparing aortic root replacement procedure.
The patient recovered well and was discharged 15 days after surgery. Postoperative echocardiography exhibited no aortic valve insufficiency.
Recently,excellent long-term operative results with low mortality have broadened the indications for valve sparing procedure. However,there are few reports that indicate improved operative results when aortic valve repair is performed. This report describes our successful experience with aortic valve repair concomitant with valve-sparing root replacement procedure.
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