[A successful case report of aortic valve replacement in aortitis c AR]

A 36-year-old female was referred as aortitis c AR with atypical coarctation of aorta (obstruction of both subclavian arteries and long stenosis of lt. common carotid artery) and complained of untolerable angina repeatedly in the state of NYHA IV. AVR was performed successfully and CHF symptoms were disappeared. In the operation, pulsatile high flow was maintained using PAD during ECC for the protection of brain and kidney and double patch was used to fix SJM 23 A. Postoperative catheterization showed good cardiac function without valve detachment. To prevent valve detachment, it was most important to control the inflammation sufficiently by steroid hormone before and after the operation.