Valve-sparing partial root repair for aortic dissection limited to the right coronary sinus of Valsalva

Journal of Cardiac Surgery
Akihisa FurutaShuhei Okubo

Abstract

To reveal a technical feasibility and safety of valve-sparing partial aortic root repair for spontaneous aortic dissection limited to the right coronary sinus of Valsalva. A 68-year-old woman presented with chest pain. Twelve-lead electrocardiogram revealed atrioventricular dissociation and ST-segment elevation on II, III, and aVF. Enhanced computed tomography images showed aortic dissection limited to the right-coronary sinus and the other non-dilated sinuses of Valsalva. Localized aortic dissection was repaired by valve-sparing partial aortic root repair using a trimmed U-shaped Dacron graft and a felt strip, and the right coronary artery was revascularized by coronary artery bypass grafting using saphenous vein graft. The patient was discharged on postoperative day 12 with no complications. Valve-sparing partial aortic root repair with the patch and coronary artery bypass grafting for aortic dissection limited to the right coronary sinus of Valsalva were technically feasible and safe.

References

Feb 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·T E DavidJ Bos
Aug 27, 2005·The Annals of Thoracic Surgery·Paul P Urbanski
Oct 24, 2007·The Annals of Thoracic Surgery·Alfredo Giuseppe CerilloMattia Glauber
Dec 10, 2008·Interactive Cardiovascular and Thoracic Surgery·Tatsuhiko KomiyaTaira Kobayashi
Jul 21, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Efstratios I CharitosMartin Misfeld

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