Sinotubular Junction Remodeling with Aortic Cusp repair. An alternative to Bentall operation for Ascending Aortic aneurysm with Aortic Valve Regurgitation.
DOI:
https://doi.org/10.2015/hc.v8i4.558Keywords:
Ascending aortic aneurysm, Aortic valve regurgitation, Aortic valve repair, Aortic valve sparing operationsAbstract
We present a 72-year-old female patient with ascending aortic aneurysm and aortic valve regurgitation, who was referred for surgery.
Preoperative echocardiography demonstrated a dilated sinutubular junction (STJ), preserved sinus dimensions and moderate to severe aortic valve insufficiency with central regurgitant jet.
During surgery, comprehensive visual assessment of aortic cusp configuration revealed prolapse of the non-coronary cusp, which was repaired by appropriate techniques. Ascending aorta pathology was corrected with sinutubular junction remodelling (STJR).
The combination of STJR and cusp repair is an excellent alternative to root replacement with no prosthesis-related long term complications.
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