title: Valve-sparing aortic root re-implantation for commissural detachment with fibrous strand.
abstract: Both aortic valve commissural detachment and commissural fenestration are rare causes of aortic regurgitation. In general, aortic valve replacement is the mainstay treatment for aortic regurgitation caused by commissural detachment or commissural fenestration. We herein describe valve-sparing aortic root re-implantation and aortic valve repair for aortic regurgitation and aortic root dilatation in an extremely rare case accompanied by both commissural detachment and commissural fibrous strand of fenestrated cusp.
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan. s-matsu731@nagasaki-u.ac.jp.
authors.forename: Seiji
authors.initials: S
authors.lastname: Matsukuma
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Inoue
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Tanigawa
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Miura
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Matsumaru
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
authors.forename: Mizuki
authors.initials: M
authors.lastname: Sumi
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Murakami
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
authors.forename: Kikuko
authors.initials: K
authors.lastname: Obase
authors.affiliation: Department of Cardiovascular Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan.
authors.forename: Kiyoyuki
authors.initials: K
authors.lastname: Eishi
mesh_terms: D001021:Aortic Valve / Q000473:pathology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D015150:Echocardiography, Doppler; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012092:Replantation / Q000379:methods; D016896:Treatment Outcome
keywords: Aortic root re-implantation; Aortic valve repair; Commissural detachment; Echocardiography; Fenestration