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Updated: Jun 23, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Complication of a complex heart failure: perforation of a sinus Valsalva [corrected] aneurysm]
Ralf Felgendreher1, Alessandro Cuneo, Stefan Hochreuther
1Medizinische Klinik II, Klinikum Lippe Detmold, Röntgenstrasse 18, 32756 Detmold. Ralf-Felgendreher@Klinikum-Lippe.de
Abstract:
A 68-year-old woman was admitted to hospital because of chronic heart failure. The cause was a left-right shunt between the left sinus of Valsalva and the right atrium. The patient underwent surgery with shunt closure. Intraoperatively, the ramus circumflexus of the coronary artery was occluded. 2.5 years later the patient was readmitted to hospital. There was acute heart failure caused by an ischemic mitral regurgitation III degrees . A planned mitral valve replacement and operative myocardial revascularization were not performed because the patient developed a drug-induced hepatotoxic failure under phenprocoumon.
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