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Aortic Regurgitation III: Medical Management

Aortic Regurgitation III: Medical Management

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 I: Introduction

Aortic Regurgitation I: Introduction

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...

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

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...

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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Winged scapula after aortic valve replacement.

Christoph Schmitz¹, Ralf Sodian, Thomas N Witt

¹Department of Cardiac Surgery, University of Munich, Munich, Germany. christoph.schmitz@med.uni-muenchen.de

The Annals of Thoracic Surgery

|March 28, 2009

Summary

This summary is machine-generated.

Iatrogenic long thoracic nerve injury is a rare complication following median sternotomy. This case report details a patient experiencing a winged scapula after aortic valve replacement surgery.

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Area of Science:

Cardiothoracic Surgery
Neurology
Surgical Complications

Background:

Median sternotomy is a common surgical approach for cardiac procedures.
Iatrogenic nerve injuries are infrequent but recognized complications.
The long thoracic nerve innervates the serratus anterior muscle, crucial for scapular stability.

Observation:

A patient developed a winged scapula post-aortic valve replacement.
The surgery, performed for infective endocarditis, was otherwise uneventful.
Clinical signs of long thoracic nerve dysfunction were noted.

Findings:

The case highlights a rare instance of iatrogenic long thoracic nerve lesion.
Winged scapula presentation occurred after median sternotomy.
This suggests a potential, albeit uncommon, risk associated with the surgical procedure.

Implications:

Awareness of this rare complication is important for surgeons.
Early recognition and diagnosis of winged scapula are crucial for patient management.
Further investigation into the mechanisms of iatrogenic nerve injury during sternotomy may be warranted.