Intravalvular implantation technique for a modified Bentall's procedure in aortitis syndrome.
Surgical treatments of aortic root involvement in aortitis syndrome are frequently complicated by valve detachment and pseudoaneurysmal formation during active inflammation. A 40-year-old woman with aortitis syndrome complicating the ascending aortic aneurysm, severe aortic regurgitation (AR), and left coronary ostial stenosis was successfully treated by aortic root replacement and concomitant coronary artery bypass grafting (CABG) during acute inflammation. We devised an intravalvular implantation between the fragile aortic annulus and Teflon felt to a modified Bentall's procedure, which prevented anastomotic leakage and pseudoaneurysmal formation in the late period.
Tanaka
Keizo
K
Department of Thoracic and Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan.
Komada
Takuya
T
Katayama
Yoshihiko
Y
Shomura
Sekira
S
D000328:Adult; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001015:Aortic Arch Syndromes / Q000150:complications / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D001027:Aortography; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D012501:Saphenous Vein / Q000637:transplantation; D014057:Tomography, X-Ray Computed