Aortic root enlargement during redo Aortic valve replacement for prosthetic aortic valve dysfunction; A Case Report

Saif S. Almodhaffer, Okba F. Ahmed, Zaid A. Zaid, Fahmi H. Kakamad, Berun A. Abdalla, Marwan N. Hassan, Shvan H. Mohammed
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Abstract

Introduction: A variety of procedures for enlarging the aortic root have been described. The aim of the current study is to report a case of redo aortic valve replacement that underwent aortic root enlargement using a novel method. Case report: A 32-year-old female with a history of severely stenotic aortic valve prothesis developed recurrent attacks of syncope and dyspnea with minimal effort. She had a past surgical history of aortic valve repair. Under general anesthesia in the supine position, a re-sternotomy was done. The newly developed technique was used for aortic root enlargement. There were no significant intraoperative complications. The patient remained two days in the cardiac intensive care unit and 15 days in the ward. Conclusion: Modification of aortic root enlargement can increase the root by three times even in redo valve replacement. 
人工主动脉瓣功能障碍重做主动脉瓣置换术中主动脉根扩大的研究病例报告
介绍了扩大主动脉根部的多种手术方法。本研究的目的是报道一例主动脉瓣置换术后主动脉根部扩大的新方法。病例报告:一名32岁女性,有主动脉瓣假体严重狭窄史,术后复发晕厥和呼吸困难。她有主动脉瓣修复的手术史。在仰卧位全麻下,行胸骨切开手术。新开发的技术用于主动脉根部扩大。术中无明显并发症。患者在心脏重症监护室住了两天,在病房住了15天。结论:主动脉根部扩大的改良术即使在重做瓣膜置换术中也能使主动脉根部增加3倍。
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