Abstract

NAVIA, Daniel; VACCARINO, Guillermo; VRANCIC, Mariano  and  PICCININI, Fernando. Preservation of the Aortic Valve in Surgical Procedures of the Ascending Aorta: Case Report. Rev. argent. cardiol. [online]. 2006, vol.74, n.4, pp.245-248. ISSN 1850-3748.

In patients with aneurysmal dilatation of the aortic root and severe valve insufficiency with a structurally normal aortic valve, it is feasible to perform an aortic valve-sparing operation to correct the valve regurgitation, without the need for anticoagulation. We present the mid-term (3 years) postoperative outcome of a 71 year-old patient with a diagnosis of aortic root aneurysm and severe aortic insufficiency, who underwent surgery of the ascending aorta sparing the aortic valve. The Doppler-echocardiogram performed three years after surgery showed a decrease in LV systolic and diastolic dimensions with a peak systolic aortic flow velocity of 1.1 m/ sec and a peak gradient of 35 mmHg, and without valve regurgitation. The aortic root valve-sparing operation exhibited a reliable durability during a mid-term follow up.

Keywords : Aortic incompetence; Valve-sparing operation; Aneurysm of the ascending aorta.