Twenty-three patients critically ill from aortic valvular disease underwent emergency aortic valve replacement as a life-saving measure. Sixteen patients (70%) survived hospitalization and 14 (61%) are presently living. Of eighteen patients who underwent solitary aortic valve replacement, there were four hospital deaths and two late deaths. Five patients required double valve surgery, with thre...

Partial upper re-sternotomy for aortic valve replacement or re-replacement after previous cardiac surgery. Aortic valve surgery after previous coronary artery bypass grafting with functioning internal mammary artery grafts. Do you need to clamp a patent left internal thoracic artery left anterior descending graft in reoperative cardiac surgery? Ann Thorac Surg 2009;87:742–747. w9x Sutherland FW...

Quadricuspid aortic valve is a rare congenital heart defect usually detected by echocardiography or at the time of aortic valve surgery. Preoperative recognition of this abnormality has clinical significance because it is frequently associated with other congenital cardiac abnormalities and anomalies of coronary origin. We report a case of quadricuspid aortic valve, which was detected preoperat...

AIM The mains topics of this work are the incidence of patient-prosthesis mismatch and the influence in the early results of isolated aortic valve surgery. METHODS In 193 patients isolated aortic valve surgery was performed. The study population was divided in three subgroups: 20 patients with severe, 131 patients with moderate and 42 patients without patient-prosthesis mismatch. The indexed ...

stanford type a acute aortic dissection (aad) is a very rare complication, with potentially lethal consequences in pregnancy. in fact, pregnancy has been regularly associated with the possibility of aortic. dissection in almost half of young women. herein, we present the case of a 38-year-old woman in her 37th week of pregnancy. the patient’s medical history was indicative of g4l2ab1(4 gestaiti...

Background The morphology of the aortic valve is of increasing importance in the evaluation of patients with calcific aortic stenosis (AS). The finding of a bicuspid valve can influence the suitability for transcutaneous aortic valve implantation, the attention paid to the proximal aorta, and consideration of family screening. More recent work has also suggested that the type of bicuspid valve ...

A 54-year-old female with acute heart failure due to aortic regurgitation (AR) was admitted to our hospital. Following admission, her condition worsened progressively; thus, surgery was performed prematurely. During surgery, two dehiscences were visualized in the aortic valve commissure between the right and left cusps and the upper part of the left coronary artery ostium. However we scheduled ...

OBJECTIVE Aortic insufficiency (AI) associated with ascending aneurysm can be corrected by valve-sparing aortic root reconstruction ('David' reimplantation, 'Yacoub' remodeling). Intraoperative endoscopic evaluation in the aortic root may help to clarify the procedure and to access competence of the preserved valve. METHODS Following cross-clamping of the ascending aorta, an endoscopy was ins...

In Marfan syndrome, with dilatation of the aortic root secondary to an underlying connective tissue defect, pregnancy can cause hemodynamic stress leading to the development of an aortic aneurysm and even a fatal aortic dissection. In the presence of existing aortic root enlargement and a family history of aortic dissection, preventative elective surgery is suggested. Aortic root replacement wi...