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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aortic Regurgitation III: Medical Management01:25

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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aortic Regurgitation I: Introduction01:15

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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aneurysm I: Introduction01:30

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...

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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
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Aortic root replacement in Behçet disease.

Kazuhiro Yoshikawa1, Hidetsugu Hori, Shuji Fukunaga

  • 1Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. yosshi@med.kurume-u.ac.jp

Asian Cardiovascular & Thoracic Annals
|November 29, 2007
PubMed
Summary
This summary is machine-generated.

Behçet's disease can cause serious cardiovascular issues like aortic aneurysms and regurgitation. Surgical intervention, such as aortic root replacement, is a successful treatment option for these complications.

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Published on: December 11, 2017

Area of Science:

  • Cardiovascular Medicine
  • Rheumatology
  • Vascular Surgery

Background:

  • Behçet's disease is a rare multisystem inflammatory disorder.
  • Cardiovascular involvement, though uncommon, can be life-threatening.
  • Aneurysm formation in the sinus of Valsalva is a recognized but infrequent complication.

Observation:

  • The patient presented with characteristic mucocutaneous lesions and a family history suggestive of connective tissue disease.
  • Diagnostic imaging revealed significant aneurysm of the sinus of Valsalva and severe aortic regurgitation.
  • These findings were associated with a confirmed diagnosis of Behçet's disease.

Findings:

  • The study successfully managed a complex case of sinus of Valsalva aneurysm and aortic regurgitation in a patient with Behçet's disease.
  • The modified Bentall technique was employed for aortic root replacement, achieving a favorable outcome.
  • This highlights the feasibility and efficacy of surgical repair in managing cardiovascular manifestations of Behçet's disease.

Implications:

  • Early recognition and management of cardiovascular complications are crucial in Behçet's disease.
  • The modified Bentall procedure is a viable surgical option for aortic root aneurysms associated with Behçet's disease.
  • Further research into the long-term outcomes and optimal management strategies for cardiovascular Behçet's disease is warranted.