Homograft replacement of the calcified aortic root in familial hypercholesterolemia.
A 39-year-old woman with a known history of homozygous familial hypercholesterolemia was admitted with chest discomfort. Preoperative echocardiography and coronary angiography showed a heavily stenotic aortic valve as well as a calcific hypoplastic aortic root. Aortic root replacement using an aortic homograft was done.
Elghobary
Tamer
T
Department of Thoracic and Cardiovacular Surgery, Laënnec Hospital, Nantes, France. telghobary@yahoo.com
Allal
Joseph
J
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Paul
P
Baron
Olivier
O
D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D001011:Aorta / Q000601:surgery*; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D001020:Aortic Stenosis, Subvalvular / Q000150:complications / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D050197:Atherosclerosis / Q000150:complications; D001781:Blood Component Removal; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D002114:Calcinosis / Q000150:complications / Q000601:surgery*; D002637:Chest Pain / Q000209:etiology; D050792:Circulatory Arrest, Deep Hypothermia Induced; D003331:Coronary Vessels / Q000601:surgery; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006324:Heart Arrest, Induced; D006720:Homozygote; D006801:Humans; D006938:Hyperlipoproteinemia Type II / Q000150:complications* / Q000235:genetics; D017379:Hypertrophy, Left Ventricular / Q000150:complications; D007387:Internal Mammary-Coronary Artery Anastomosis; D008077:Lipoproteins, LDL / Q000097:blood; D010166:Palliative Care; D016491:Peripheral Vascular Diseases / Q000150:complications; D011167:Portacaval Shunt, Surgical; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012092:Replantation; D014184:Transplantation, Homologous; D018487:Ventricular Dysfunction, Left / Q000209:etiology
D008077:Lipoproteins, LDL