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Ann Thorac Surg 1999;68:257-259
© 1999 The Society of Thoracic Surgeons


Case Reports

Early valve failure after aortic valve-sparing root reconstruction

Keiji Kamohara, MDa, Tsuyoshi Itoh, MDa, Masafumi Natsuaki, MDa, Hiroaki Norita, MDa, Kozo Naito, MDa

a Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Saga, Japan

Address reprint requests to Dr Kamohara, Department of Surgery, Saga Medical School, Nabeshima-5-1-1, Saga, 849 Japan

Aortic valve-sparing root reconstructive surgery has been widely adopted to improve the patient’s quality of life. We experienced a patient who required reoperation for progressive aortic regurgitation 17 months after the initial operation of valve-sparing root reconstruction with the reimplantation method in acute aortic dissection. In this study, we were concerned with valve durability because of the absence of sinuses of Valsalva in the new aortic root and the need for careful follow-up after this procedure.




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