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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

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Implantation of a Sutureless Valve Into a Stented Prosthesis: An Open Salvage Procedure

Ali Alizzi¹, James Edwards¹, Mark Markou¹

¹Cardiothoracic Surgical Unit, Ashford Hospital, Adelaide, Australia. alializzi@hotmail.com.

The Heart Surgery Forum

|April 28, 2023

Abstract

Background:

A 78-year-old male was admitted to our institute with increasing shortness of breath and decreased exercise tolerance. His increasing symptoms were not relieved with medical management. He had a complex medical history that included aortic valve replacement (AVR). Echocardiography showed a deteriorating aortic bioprosthesis with severe aortic regurgitation.

Method:

Intraoperative extraction of this prosthesis proved technically challenging and a valve in valve successfully was implanted as a salvage procedure.

Results:

The procedure was successful, and the patient made a full recovery.

Conclusion:

Open valve in valve implantation, despite technical difficulties, may be utilized as a salvage procedure.

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