Placement of a rapid deployment aortic valve in a patient with severely calcified aortic root homograft |
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Authors: | Lindsay E. Volk MD MPH Justin Elkhechen BS Anna Olds MD Leonard Y. Lee MD |
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Affiliation: | Division of Cardiothoracic Surgery, Rutgers Robert Wood Johnson University Hospital, New Brunswick, New Jersey |
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Abstract: | Significant aortic calcification is a known sequelae of homograft aortic root replacement and creates a treatment challenge if these patients require cardiac reintervention. The standard surgical option for patients requiring an aortic valve replacement in the setting of a calcified aortic homograft has been a Bentall procedure, which is high-risk with extended cross-clamp, cardiopulmonary bypass and operative times. We present a patient with a severely calcified aortic homograft who underwent successful valve replacement using a rapid deployment aortic valve leaving the aortic root and arch intact and avoiding the more extensive redo aortic root replacement. Similar cases in the literature are rare. |
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Keywords: | aorta great vessels valve repair/replacement |
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