Aortic Root Replacement with Valve Preservation in a Patient with Annuloaortic Ectasia.
- Author:
Dae Jun KIM
1
;
Chee Soon YOON
;
Byung Chul JANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yonsei University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Annuloaortic ectasia Marfan;
Aortic valve;
repair
- MeSH:
Aorta;
Aortic Valve;
Aortic Valve Insufficiency;
Coronary Vessels;
Dilatation;
Dilatation, Pathologic*;
Echocardiography;
Echocardiography, Doppler;
Humans;
Marfan Syndrome;
Polyethylene Terephthalates;
Replantation;
Sinus of Valsalva;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(12):1234-1237
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Patients with aortic root disease, frequently seen in Marfan syndrome have progressive dilatation of the aortic sinuses and dilatation and distortion of the aortic annulus, leading to aortic incompetence. They are currently treated with composite graft replacement of the ascending aorta and aortic valve and reimplantation of the coronary arteries. Recently, we experienced an aortic root replacement with aortic valve preservation in a patient with annuloaortic ectasia. The ascending aorta and sinus was excised except the aortic annulus and aortic valve. The aortic valve was reimplanted inside of a collagen-impregnated tubular Dacron graft. The coronary arteries were also reimplanted. The patient was followed up for six months and reevaluated with the echocardiography. Postoperative Doppler echocardiography revealed normal aortic valve function. With this technique, it is possible to preserve the native aortic valve if the aortic leaflets are anatomically normal.
