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Updated: Oct 1, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Aortic Root Replacement with Patch Closure of Membranous Ventricular Septal Aneurysm]
Tomonori Ochiai1, Masahiro Mizumoto, Yoshinori Kuroda
1Second Department of Surgery, Yamagata University, Yamagata, Japan.
This study reports two successful surgeries for membranous ventricular septal aneurysm (MSA) with annuloaortic ectasia (AAE). Surgical techniques were adapted for fragile tissue, ensuring positive outcomes in complex cardiac cases.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Case Reports
Background:
- Membranous ventricular septal aneurysm (MSA) co-occurring with annuloaortic ectasia (AAE) is a rare adult cardiac condition.
- Surgical management of this rare combination presents unique challenges.
Observation:
- Two adult male patients, aged 50 and 53, presented with MSA and AAE.
- One patient had a history of childhood aortic coarctation repair and infective endocarditis; the other had severe aortic regurgitation.
Findings:
- Both patients underwent successful simultaneous surgical repair, including patch closure of the MSA and aortic root replacement.
- Technical modifications during MSA patch closure were necessary due to the fragility of the upper margin.
Implications:
- This case report highlights the feasibility of surgical intervention for complex MSA and AAE.
- Adaptable surgical techniques are crucial for managing fragile cardiac structures in these rare cases.
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