A Case of Aortic Root Replacement with a Left Main Trunk Patch Plasty
10.4326/jjcvs.40.177
- VernacularTitle:左冠動脈主幹部入口部パッチ形成術を行った大動脈基部置換術の1例
- Author:
Toshihito Yoshida
;
Yuji Naito
- Publication Type:Journal Article
- Keywords:
left coronary artery orifice stenosis;
patch plasty;
annuloaortic ectasia;
aortic root replacement
- From:Japanese Journal of Cardiovascular Surgery
2011;40(4):177-180
- CountryJapan
- Language:Japanese
-
Abstract:
A 63-year-old woman with annuloaortic ectasia and severe aortic regurgitation was referred to our hospital. Preoperative coronary angiography revealed 50% stenosis of the orifice of the left main trunk. She underwent aortic root replacement, but we were unable to insert a 12-gauge cannula into the orifice of the left coronary artery because of cardioplegia. Therefore, we decided to perform patch plasty of the left main trunk by a saphenous vein patch. Her postoperative course was uneventful, and postoperative computed tomography (CT) showed good expansion of the left main trunk without any evidence of aneurysm formation.
