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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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A surgical approach for aortic root aneurysm repair: a case report
Feridoun Sabzi1, Aghigh Heydari1, Javad Azimivaghar1
1Cardiovascular Research Center, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Journal of Medical Case Reports
|July 3, 2025
Summary
This study presents a novel surgical technique for aortic root aneurysm, combining Dacron graft wrapping with autologous pericardial valve repair. This approach offers a promising alternative to traditional methods, particularly for patients unable to use anticoagulation.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Background:
- The Bentall procedure is standard for aortic root aneurysm but has risks.
- Prosthetic valves carry long-term complications.
- Alternative techniques are needed for patients with contraindications to anticoagulation.
Purpose of the Study:
- To evaluate a novel surgical technique for aortic root aneurysm.
- To assess the feasibility of combining Dacron graft wrapping with autologous pericardial valve reconstruction.
Main Methods:
- A novel surgical technique was applied, combining Dacron graft wrapping of the aortic root with autologous pericardial valve reconstruction.
- A 59-year-old male with aortic root aneurysm and warfarin intolerance underwent emergency surgery.
- The patient had a history of peptic ulcers and presented after a car accident with chest pain.
Main Results:
- Emergency surgery was performed using the novel approach for suspected intramural aortic aneurysm.
- The patient experienced an uneventful postoperative course.
- At 6-month follow-up, the patient remained clinically stable with minimal residual aortic regurgitation.
Conclusions:
- Combining Dacron root wrapping with autologous pericardial valve reconstruction is a viable alternative to conventional prosthetic valve replacement.
- This technique is particularly suitable for patients with contraindications to long-term anticoagulation.
- This case highlights a potentially safer surgical option for aortic root pathology.
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