A 55-year-old male with a history of two prior cardiac surgeries presented with decompensated heart failure due to severe bioprosthetic aortic valve insufficiency. A third operation was viewed prohibitively high risk and valve-in-valve trans-catheter aortic valve replacement was considered. There were however several high-risk features and technically challenging aspects including low coronary ...

A 22 year old female with valvular heart disease, moderate mitral valve insufficiency, moderate aortic insufficiency, extensive aneurysmal dilatation of the entire ascending aorta and arch, and segmental dilatation of descending aorta underwent entire anterior aortic replacement. We performed aortic root and valve replacement with a composite graft, followed by coronary artery reimplantation us...

RECENTLY we observed an infant with severe aortic insufficiency and progressive left ventricular failure. Postmortem studies revealed aneurysmal dilatation of the base of the aorta and a large communication with the left ventricle. The aneurysm involved the right sinus of Valsalva but was not limited to that region. The rarity of congenital aortic insufficiency in general and of this lesion in ...

A 58 years old male with a long-standing history of HLA-B27 positive ankylosing spondylitis presented with increasing fatigue and dyspnea on exertion. He had left ventricular dysfunction and enlargement, flail right coronary leaflet of aortic valve with severe eccentric aortic insufficiency along with left ventricular non-compaction in echocardiography. The most common cardiac manifestations of...

Fig. 2. (A) With anulo-aortic ectasia and severe aortic insufficiency, pulmonary artery valve displasia and severe insufficiency, pulmonary artery ectasia, the patient underwent a surgical intervention. Ascending aorta (Ao) and pulmonary artery trunk (PA) were exposed by median sternotomy. (B) Ascending aorta aneurysm and aortic valve were replaced with bioprosthesis and Dacron conduit. Pulmona...

BACKGROUND In many cardiac units, aortic valve-sparing operations have become the preferred surgical procedure to treat aortic root aneurysm in patients with Marfan syndrome, based on relatively short-term outcomes. OBJECTIVES This study examined the long-term outcomes of aortic valve-sparing operations in patients with Marfan syndrome. METHODS All patients with Marfan syndrome operated on ...

Thirty-five patients with clinical evidence of aortic insufficiency were studied by echocardiography. Eleven patients had characteristic diastolic fluttering of the mitral valve (30 to 40 Hz, maximal amplitude 4 mm). In five others the fluttering was classified as equivocal. In a control group of 500 echocardiograms in patients without evidence of aortic insufficiency, there were three examples...