Prevention of aortic stump dehiscence after complete aortic prosthesis removal

Aortic Valve replacement with Reduction Aortoplasty with Mesh Prosthesis in 75 years old with Sever aortic Regurgitation with Aortic Aneurysm

Although classic and standard procedure for patients with ascending Aorta aneurysm with Sever aortic Regurgitation is Bentall surgery but in some selected cases this complex surgery was not performed with different reason like advanced age and coexisting comorbidity involving renal and hepatic and lung Function. In our cases 75 years old man with chronic renal failure ( Cr= 3.2 ) who was known ...

Aortic Regurgitation due to Commissural Dehiscence of the Aortic Valve

Commissural dehiscence of the aortic valve is a rare cause of aortic regurgitation. We report a 53-year-old male who had progressive aortic regurgitation and aortic root dilatation. A flap or intimal tear of the proximal aorta was absent with echocardiography and computed tomography. Transesophageal echocardiography revealed prolapse of the right and left coronary cusps with no intimal flap in ...

Expulsion of the disk of a Bjork-Shiley aortic prosthesis after temporary removal.

A 42-year-old woman was diagnosed by cardiac catheterization as having severe mitral stenosis and grade-3/4 aortic regurgitation. The patient underwent mitral commissurotomy and replacement of the aortic valve with a No. 21 Bj#{246}rkShiley tilting-disk prosthesis. The prosthesis was fixed in place with 16 single sutures (Ethiflex). In the immediate postoperative period the clinical picture and...

Transapical aortic prosthesis misplacement.

Extensive aortic prosthesis dilatation.

Figure 1: A CT scan 2 years (A) and 14 years (B) after the initial aortic repair. It shows the enlarged prosthesis diameter of 42 mm (black dotted arrows), which has remained stable over time. Compared with the original dimension, the cross-sectional area of the prosthesis increased by 96%, and the prosthesis wall tension by 40%. Figure 2: Reconstructed three-dimensional angiography demonstrati...