Management of ascending aortic aneurysm and valvular incompetence with external remodeling.
Aneurysmatic dilatation of the sinotubular junction may result in aortic valvular incompetence even if the leaflets remain structurally intact. Traditionally, such situations are managed by open techniques of both the ascending aorta and the aortic valve. We present a case of aortic regurgitation, due to a 50-mm diameter ascending aortic aneurysm, which was corrected by sinotubular remodeling and wall-reinforcement without the usage of cardio-pulmonary bypass. The authors describe a calculation-based and a transesophageal echo controlled technique of external reconstruction of the aorta and correction of the aortic regurgitation.
Dzsinich
Mate
M
Cardiovascular Surgery, Mayo Clinic, Mayo Foundation, 200 First Street SW, Med Sci 4, Rochester, MN 55902, USA. dzsinich.mate@mayo.edu
Tarr
Francis
F
Schaff
Hartzell V
HV
D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D013536:Suture Techniques