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Updated: Jul 17, 2025

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
A case of aortic root replacement for annuloaortic ectasia due to Takayasu's arteritis in active inflammatory phase
Takuma Mikami1,2, Chikara Shiiku1,2, Ryosuke Numaguchi1,2
1Department of Cardiovascular Surgery, National Hospital Organization, Obihiro Hospital, Hokkaido, Japan.
Abstract:
A 39-year-old man was admitted with acute heart failure due to severe aortic regurgitation induced by annuloaortic ectasia associated with Takayasu's arteritis. Because of the active inflammatory phase associated with Takayasu's arteritis, surgery is typically performed following immune suppression by steroid therapy. Herein, we report a favorable recovery in the active inflammatory phase. Steroid therapy was initiated shortly following surgery. The decision to perform aortic root replacement without prior steroid therapy was made because the patient's risk of subsequent heart failures was deemed high and was complicated by other comorbidities.
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