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Updated: May 4, 2026
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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
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Sub-coronary aortic root replacement post-aortic valve dehiscence: a case report
Aabha Divya1, Tobin Mangel2,3, Rakesh Seetharaman1
1Cardiac Surgery, Royal Papworth Hospital NHS Trust, Cambridge, CB2 0AY, UK.
Journal of Cardiothoracic Surgery
|March 27, 2024
Summary
Sub-coronary aortic valve and root replacement is a viable option for elderly patients with complex coronary anatomy, even after previous valve surgery. This case report highlights a successful outcome in a 78-year-old male.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Cardiac Surgery
Background:
- A 78-year-old male presented with a history of tissue aortic valve replacement in 2013.
- The patient had complex anomalous coronary anatomy.
- The patient developed aortic valve dehiscence and an aortic root pseudoaneurysm.
Observation:
- The patient underwent a sub-coronary aortic valve and root replacement.
- The surgical procedure was performed due to complications from a previous aortic valve replacement.
Findings:
- The patient had complex anomalous coronary anatomy.
- The sub-coronary aortic valve and root replacement was technically successful.
- The patient experienced an uneventful recovery and was discharged five days post-operation.
Implications:
- Sub-coronary root replacement may be a suitable technique for elderly patients.
- This approach should be considered in patients with complex coronary anatomy.
- Further investigation into this technique for specific patient populations is warranted.
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