[An aortic valve-sparing procedures (remodeling) for a patient with annuloaortic ectasia: a case report].
A 51-year-old man with annuloaortic ectasia and aortic regurgitation, who did not have Marfan syndrome, underwent an aortic valve-sparing root reconstruction (remodeling). All three sinuses were excised and then the ascending aorta was replaced with a 30 mm collagen-impregnated Dacron graft, one of which ends were scalloped to reproduce pseudosinus. Each coronary artery orifice was anastomosed to the graft with Carrel patch method. Post-operative angiogram showed no aortic regurgitation and no pseudosinus formation, because the graft was slightly larger than the optimal one. The NYHA functional class has been improved III to I 18 months after the operation.
Kioka
Y
Y
Department of Cardiovascular Surgery, Fukuyama Municipal Hospital, Japan.
Okada
M
M
Yamada
N
N
Togawa
J
J
Tamamoto
K
K
D001011:Aorta / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006348:Cardiac Surgical Procedures / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D019651:Plastic Surgery Procedures / Q000379:methods
D011093:Polyethylene Terephthalates