Aortic Root Replacement for Bicuspid Aortic Valve and Annuloaortic Ectasia in a Patient with Ankylosing Spondylitis
10.4326/jjcvs.40.130
- VernacularTitle:強直性脊椎炎を合併した大動脈二尖弁・大動脈弁輪拡張症に対する大動脈基部置換術
- Author:
Hideki Takahashi
;
Takashi Azami
- Publication Type:Journal Article
- Keywords:
ankylosing spondylitis;
bicuspid aortic valve;
annuloaortic ectasia;
aortic regurgitation;
aortic root replacement
- From:Japanese Journal of Cardiovascular Surgery
2011;40(3):130-134
- CountryJapan
- Language:Japanese
-
Abstract:
A 48-year-old man was admitted with shortness of breath. He had been given a diagnosis of ankylosing spondylitis by an orthopedic surgeon 20 years previously. A grade III/VI to-and-fro murmur was audible at the left sternal border. Echocardiography revealed moderate to severe aortic regurgitation with annular dilatation. He had also suffered complained rigidity of the neck muscles and back pain for 20 years. He underwent aortic root replacement and his postoperative course was uneventful. Aortic valve regurgitation with ankylosing spondylitis in Japan has been seldom reported, compared with European or American. We discuss surgical problems and the management of these lesions are discussed.
