title: Ross, Hybrid Arch, and Frozen Elephant Trunk Reconstruction for Late Complications of Bicuspid Aortic Valve and Aortopathy.
abstract: Young patients with bicuspid aortic valve disease and aortopathy remain a clinical challenge, with many requiring multiple corrective operations throughout their lifetimes. Innovative surgical approaches are often required to address complex aortic pathologic conditions but leave patients at risk for reintervention, lifelong anticoagulation, and suboptimal hemodynamics. We describe an active 44-year-old female triathlete with recurrent bicuspid aortic stenosis, a small aortic root, a hypoplastic aortic arch and complex distal arch, and a descending aortic aneurysm, who underwent a single-stage reconstruction with a combined Ross procedure, hybrid arch, and frozen elephant trunk reconstruction.
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.
authors.forename: Matthew
authors.initials: M
authors.lastname: Valdis
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.
authors.forename: Gaetano
authors.initials: G
authors.lastname: DeRose
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.
authors.forename: Linrui
authors.initials: L
authors.lastname: Guo
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada. Electronic address: michael.chu@lhsc.on.ca.
authors.forename: Michael W A
authors.initials: MW
authors.lastname: Chu
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D000082882:Bicuspid Aortic Valve Disease; D004452:Echocardiography / Q000379:methods; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D006801:Humans; D000069451:Long Term Adverse Effects / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation / Q000379:methods; D056346:Sternotomy / Q000009:adverse effects* / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods