Aortic insufficiency in a patient with Marfan syndrome after aortic root reconstruction with a tailored-sinus graft |
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Authors: | Konstantinov Igor E Zehr Kenton J |
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Affiliation: | Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota 55902, USA. |
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Abstract: | A patient with Marfan syndrome underwent valve-preserving aortic root reconstruction with a Robicsek-Thubrikar graft. Intraoperative transesophageal echocardiography showed aortic insufficiency after extracorporeal circulation was discontinued. Placing 3 subcommissural annuloplasty sutures corrected the severe aortic insufficiency. Herein, we discuss the mechanism and prevention of aortic regurgitation after aortic root replacement with a new graft that contains pre-designed aortic sinuses. |
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