Aortic insufficiency in a patient with Marfan syndrome after aortic root reconstruction with a tailored-sinus graft.
A patient with Marfan syndrome underwent valve-preserving aortic root reconstruction with a Robicsek-Thubrikar graft. Intraoperative transesophageal echocardiography showed aortic insufficiency after extracorporeal circulation was discontinued. Placing 3 subcommissural annuloplasty sutures corrected the severe aortic insufficiency. Herein, we discuss the mechanism and prevention of aortic regurgitation after aortic root replacement with a new graft that contains pre-designed aortic sinuses.
Konstantinov
Igor E
IE
Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55902, USA.
Zehr
Kenton J
KJ
D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000601:surgery*