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Updated: May 16, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Aortic valve replacement for aortic regurgitation with rare left ventricular non-compaction
Hideyuki Tanaka1, Tatsunori Kimura, Shinji Miyamoto
1Department of Cardiovascular Surgery, Shinbeppu Hospital, Beppu, Oita, Japan.
Left ventricular noncompaction cardiomyopathy, a rare congenital heart defect, can be treated with aortic valve replacement. This surgery improved cardiac function and clinical status in an elderly patient two years post-operation.
Area of Science:
- Cardiology
- Genetics
- Congenital Heart Defects
Background:
- Left ventricular noncompaction (LVNC) is a rare congenital cardiomyopathy.
- It stems from arrested compaction of endocardial and myocardial fibers.
- LVNC presents a wide clinical spectrum, from asymptomatic cases to severe heart failure.
Observation:
- An elderly patient with LVNC presented with aortic regurgitation.
- The patient underwent aortic valve replacement (AVR).
- This was the fourth reported case of AVR in an LVNC patient.
Findings:
- Two-year follow-up showed improved clinical condition post-AVR.
- Cardiac function recovered significantly after the surgery.
- AVR is a viable treatment option for LVNC patients with aortic regurgitation.
Implications:
- Aortic valve replacement can effectively manage aortic regurgitation in LVNC.
- Surgical intervention may improve cardiac function and prognosis in selected LVNC patients.
- Further research is needed to understand the long-term outcomes of AVR in LVNC.
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