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Updated: Aug 13, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Aortic root enlargement for aortic valve replacement in an achondroplastic dwarf
Antonio Scafuri1, Marco Moscarelli, Lorenzo Guerrieri Wolf
1Department of Cardiac Surgery, Tor Vergata University of Rome, Via Oxford 81, 00133 Rome, Italy. antonio.scafuri@fastweb.net.it
Achondroplastic dwarf patients with severe aortic stenosis can undergo aortic valve replacement and aortic root enlargement. This case demonstrates that achondroplasia is not a contraindication for this cardiac surgery.
Area of Science:
- Cardiology
- Cardiac Surgery
- Genetics
Background:
- Achondroplasia is a genetic disorder affecting bone growth.
- Valvular heart disease incidence in achondroplastic patients is not well-documented.
- Severe calcific aortic stenosis poses significant health risks.
Observation:
- A case study involving an achondroplastic dwarf patient with severe calcific aortic stenosis.
- The patient required aortic valve replacement and aortic root enlargement.
- This surgical combination is unprecedented in achondroplastic patients.
Findings:
- Successful aortic valve replacement and aortic root enlargement were performed.
- The procedure highlights the feasibility of complex cardiac surgery in achondroplastic individuals.
- Achondroplasia itself does not preclude successful surgical intervention for aortic stenosis.
Implications:
- This case expands the understanding of surgical options for achondroplastic patients with heart conditions.
- It suggests that achondroplastic dwarfism should not be considered a contraindication for aortic valve replacement.
- Further research is warranted to explore valvular disease prevalence and management in achondroplasia.
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