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Transaortic double valve replacement with total chordal preservation
Smartin Abraham1, Raja Joshi, A Sampath Kumar
1The Department of Cardiothoracic & Vascular Surgery, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi.
Texas Heart Institute Journal
|June 22, 2002
Summary
Transaortic double valve replacement is a rare procedure. This case highlights its use in a young patient with severe aortic regurgitation and mitral valve disease, preserving the mitral apparatus.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Disease
- Rheumatic Heart Disease
Background:
- The Ross procedure and mitral commissurotomy were performed on a 26-year-old male 6 years prior.
- The patient presented with severe aortic regurgitation and mitral valve thickening with mild regurgitation.
Observation:
- Recurrent rheumatic activity led to valvulopathy recurrence.
- The patient underwent a second operation for transaortic double valve replacement.
Findings:
- The transaortic approach allowed for mitral valve replacement with total chordal preservation.
- This technique provided excellent access in a patient with a dilated aortic annulus.
Implications:
- The Ross procedure is now avoided in young patients with rheumatic heart disease and mitral valve disease.
- Transaortic valve replacement with chordal preservation is a viable option for selected patients.