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Updated: Dec 13, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Aortic root destruction after aortic valvuloplasty for bicuspid aortic valve
Mitsutaka Nakao1, Michio Yoshitake2, Yoko Matsumura2
1Department of Cardiac Surgery, The Jikei University School of Medicine, 3-9-18, Nishi-shinbashi, Minato-ku, Tokyo, 105-8571, Japan. mit.nakao@jikei.ac.jp.
Abstract:
Ultrasound cardiography showed severe aortic regurgitation (AR) due to bicuspid aortic valve with dilatation of the aortic annulus and sinotubular junction in a 27-year-old man hospitalized with loss of consciousness. He underwent aortic valvuloplasty combined with external suture annuloplasty using an expanded polytetrafluoroethylene (ePTFE) suture. Intraoperative findings revealed thickening and adhesion of the aortic root despite the first surgery. He developed recurrent AR 7 months later and underwent redo surgery. An ePTFE suture was found inside the aorta. Aortic root replacement with a mechanical composite graft was performed, as reconstruction appeared difficult because the aortic annulus was damaged and there were multiple holes on all cusps. Here, we report a rare case of aortic root destruction after external suture annuloplasty.
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