Florida sleeve repair for aortic root aneurysm

Area of Science:

• Cardiovascular Surgery
• Aortic Aneurysm Repair
• Coronary Artery Disease Management

Background:

• The patient presented with a large aortic root aneurysm (60 mm) and significant two-vessel coronary artery disease.
• Echocardiography confirmed an enlarged sinus of Valsalva with mild aortic regurgitation, necessitating surgical intervention.

Observation:

• A combined surgical approach was employed, utilizing the Florida sleeve technique with a vascular graft.
• Coronary artery bypass grafting was performed concurrently to address the coronary disease.

Findings:

• The postoperative period was uneventful, with no immediate complications.
• One-year follow-up demonstrated a significant reduction in aortic root diameter to 38 mm.
• Resolution of aortic regurgitation was confirmed, with no signs of insufficiency.

Implications:

• The Florida sleeve repair is a viable and effective option for managing complex aortic root aneurysms combined with coronary artery disease.
• This technique offers durable results, improving aortic root dimensions and valvular function.
• Successful surgical outcomes highlight advancements in treating complex cardiovascular pathologies.