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Updated: Dec 5, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Surgical management of a simultaneous aortic valve replacement and pneumonectomy
Mouna Bousnina1,2,3,4, Hazem Zribi1,2,3,4, Sarra Zairi1,2,3,4
1Department of thoracic and cardiovascular surgery, Abderrahman Mami Hospital, 2080 Ariana, Tunisia.
Abstract:
Combined heart surgery and lung resection remains a controversial issue. The treatment of two major conditions in the same operative time may be attempted in certain cases. We report the case of a 68-year-old man who presented for dyspnea on exertion. The chest computerized tomography scan showed an infiltrating tumor which involved the right interlobar artery. A pneumonectomy was indicated and the preoperative echocardiography detected a calcified aortic valve with severe stenosis and significant pressure gradient. The patient had combined pneumonectomy and aortic valve replacement through median sternotomy and was discharged 18 days after surgery. Cardiac valve replacement is feasible in conjunction with pulmonary resection. However morbidity is increased in case of associated pneumonectomy.
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