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Updated: Jun 22, 2026
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Stentless aortic valve implantation in heavily calcified aorta
Jamshid H Karimov1, Alfredo Giuseppe Cerillo, Marco Solinas
1Department of Adult Cardiac Surgery, 'G.Pasquinucci' Heart Hospital, G. Monasterio Foundation, National Research Council, Massa, Italy.
Insights
This study presents two male patients diagnosed with severe aortic stenosis and heavily calcified aortas. Surgical intervention for aortic valve replacement was successfully performed, highlighting the detailed imaging and surgical approach.
Area of Science:
- Cardiovascular Surgery
- Radiology
- Cardiac Imaging
Background:
- Aortic valve stenosis is a significant cardiovascular condition often requiring surgical intervention.
- Severe aortic calcification presents unique challenges during aortic valve replacement procedures.
Observation:
- Two male patients presented with severe aortic stenosis and extensive aortic calcification.
- Multislice computed tomography (CT) imaging revealed detailed distribution of calcium deposits in the aorta.
Findings:
- The ascending aorta was severely affected by plaque, with calcification notably absent only in the supra-annular zone.
- CT scans provided crucial anatomical detail for surgical planning.
Implications:
- This case highlights the importance of detailed pre-operative imaging in managing complex aortic valve stenosis.
- The presented surgical technique offers insights for similar challenging cases.
Abstract:
Two male patients who underwent an aortic valve replacement are presented in this study. After assessment, an aortic valve stenosis was diagnosed in both patients, and a multislice computed tomography scan confirmed the heavily calcified aorta and severe aortic stenosis. The computed tomography scan demonstrated the huge calcium deposits and their distribution in detail. Notably, the ascending aorta in both patients was severely plaqued, and only the supra-annular zone was free from any detectable calcium deposits. We present the images of this case and the surgical technique applied in this matter.