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Updated: Jan 31, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Cardioaortic replacement for a ruptured root pseudoaneurysm with pulsatile subcutaneous extension.
Hanjay Wang1, Yasuhiro Shudo1, Scott A Hittinger1
1Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
This study details a successful combined heart and aortic surgery for a ruptured aortic root pseudoaneurysm. This complex procedure, using hypothermic circulatory arrest, offers a solution for previously inoperable cases.
Area of Science:
- Cardiovascular Surgery
- Aortic Surgery
- Heart Transplantation
Background:
- Orthotopic heart transplantation with concurrent aortic procedures is infrequently performed.
- Ruptured aortic root pseudoaneurysms present significant surgical challenges.
Observation:
- A patient with an inoperable, ruptured aortic root pseudoaneurysm was successfully managed.
- The treatment involved combined cardioaortic replacement.
Findings:
- The combined cardioaortic replacement was performed successfully under hypothermic circulatory arrest.
- This approach enabled the management of a complex, otherwise inoperable condition.
Implications:
- This case demonstrates a viable strategy for managing complex aortic pathologies in conjunction with heart transplantation.
- The technique offers hope for patients with previously untreatable conditions.
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