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Double prosthetic aortic valve. Case report.

J E Liddicoat, S M Bekassy, M E De Bakey

    The Journal of Thoracic and Cardiovascular Surgery
    |May 1, 1975
    PubMed
    Summary
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    This case report details a patient with two aortic valves functioning simultaneously. He is the first reported case of concomitant aortic valves and a long-term survivor with a Hufnagel valve.

    Area of Science:

    • Cardiovascular Surgery
    • Aortic Valve Disease
    • Prosthetic Heart Valves

    Background:

    • A 55-year-old male presented with aortic valve insufficiency requiring Hufnagel valve implantation in the descending thoracic aorta.
    • The patient remained asymptomatic for 16 years post-implantation.

    Observation:

    • Progressive left ventricular failure necessitated a second aortic valve replacement.
    • A De Bakey carbon ball aortic valve prosthesis was implanted to address the incompetent native aortic valve.

    Findings:

    • The patient is currently doing well 21 months after the second surgery, with both aortic valves functioning.
    • This represents the first reported case of two concomitantly functioning aortic valves in a patient.
    • The patient is also one of the longest-surviving individuals with a Hufnagel valve.

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    Implications:

    • This case highlights the potential for long-term survival and successful management in complex aortic valve disease.
    • It suggests that dual aortic valve configurations, though rare, can be hemodynamically viable.
    • Further research into long-term outcomes of patients with multiple prosthetic or native/prosthetic aortic valves is warranted.