Sleeve Technique Combined With Aortic Valve Replacement: A Simpler Alternative to the Bentall Procedure
| Autor: | Gerardo Di Matteo, Francesco Trinca, Ana Paula Tagliari, Fabrizio Rosati, Giuseppe De Cicco, Stefano Benussi |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Aortic valve medicine.medical_specialty Aortic Valve Insufficiency Bentall procedure sleeve procedure Regurgitation (circulation) 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Aortic valve replacement Ectasia Humans Medicine aortic valve replacement Heart Valve Prosthesis Implantation Aspirin Ejection fraction business.industry General Medicine Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure 030228 respiratory system Ventricle Aortic Valve Heart Valve Prosthesis cardiovascular system Cardiology and Cardiovascular Medicine business medicine.drug |
| Popis: | Aortic root disease can be treated with different surgical techniques. The surgical approach of choice depends on patients’ comorbidities and aortic valve conditions. We describe an operation combining a Sleeve aortic rootplasty with an aortic valve replacement, as an alternative to the classical Bentall procedure. The patient, a 63-year-old man, was admitted to our institution in April 2019 with severe aortic regurgitation, left ventricle dysfunction (ejection fraction = 44%), and aortic root ectasia (476 mm). Since a sparing aortic valve procedure was judged not feasible because of the thickness and retraction of the leaflets, we decided to perform a procedure through a sleeve operation to treat the aortic ectasia and a standard bioprosthetic aortic valve replacement to treat the aortic regurgitation. The patient had an uneventful postoperative course and was discharged on the sixth postoperative day with aspirin as sole antiplatelet treatment. This procedure may be considered an alternative to the Bentall operation. In fact, it may also offer complete treatment for the aortic root disease, avoiding coronary complications due to coronary ostia manipulation and reimplantation. |
| Databáze: | OpenAIRE |
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