Coronéo extra-aortic annuloplasty ring could stabilize even the pulmonary autograft annulus in a Ross operation
Jazyk angličtina Země Německo Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články, práce podpořená grantem
PubMed
23096451
DOI
10.1093/ejcts/ezs456
PII: ezs456
Knihovny.cz E-zdroje
- MeSH
- anuloplastika srdeční chlopně metody MeSH
- aorta thoracica MeSH
- aortální insuficience patologie chirurgie MeSH
- chirurgická náhrada chlopně metody MeSH
- dilatace patologická chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- plicní chlopeň patologie MeSH
- velikost orgánu MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
The Ross procedure is an alternative technique to mechanical prosthesis and recent evidence suggests that it is associated with improved long-term survival and quality of life. However, late pulmonary autograft failure can occur more frequently in patients with significant dilation of the aortic annulus. Here, we present a technical modification of the Ross procedure--a case report of a patient who underwent a Ross procedure in which the gross dilation of the aortic annulus was reduced by implantation of an extra-aortic Coronéo annuloplasty ring. Before discharge, we performed a multidetector computed tomography (MDCT) to verify the effect of extra-aortic annuloplasty on the geometry of the neoaortic root and particularly on the dimension of the aortic annulus. The result of the MDCT demonstrated that the ring sits in the optimal position at the level of aortoventricular base and that aortic annulus is significantly reduced.
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