Aortic root replacement with a stentless bioprosthesis in a patient with giant cell arteritis.
A 66-year-old woman was diagnosed with severe aortic regurgitation. Blood studies constantly showed positive C-reactive protein. Aortic valve replacement using a mechanical valve was carried out. Four months after the operation, echocardiogram showed aortic regurgitation due to paravalvular leakage. Reoperation was performed using a stentless aortic root bioprosthesis. The pathological specimen from the aortic wall was consistent with giant cell arteritis. The patient was treated with prednisone with dramatic improvement of systemic symptoms.
Iguchi
Atsushi
A
Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, Sendai, Miyagi, Japan.
Nitta
Yoshio
Y
Saito
Takeshi
T
Tabayashi
Koichi
K
D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001705:Bioprosthesis; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications*; D006350:Heart Valve Prosthesis; D006801:Humans; D012086:Reoperation