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Andrea Venturini
Raimondo Ascione
Franco Ciulli
Elvio Polesel
Gianni D. Angelini
Claudio Zussa
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Ann Thorac Surg 2006;81:350-352
© 2006 The Society of Thoracic Surgeons

Case report

Novel Repair for Late Posttraumatic Aortic Valve Injury and Root Pseudoaneurysm

Andrea Venturini, MD, PhD a , * , Raimondo Ascione, MD, MCh b , Franco Ciulli, MD b , Elvio Polesel, MD a , Roberto Moretti, MD a , Gianni D. Angelini, MD, MCh b , Claudio Zussa, MD, PhD a

a Department of Cardiac Surgery, Ospedale Civile Umberto I, Venezia Mestre, Italy
b Bristol Heart Institute, Bristol Royal Infirmary, Bristol, United Kingdom

Accepted for publication September 3, 2004.

* Address correspondence to Dr Venturini, Unità Operativa di Cardiochirurgia, Ospedale Civile Umberto I, Via Circonvallazione 50, Venezia Mestre, 30174 Italy (Email: andrventurini{at}libero.it).

We report a case of posttraumatic aortic valve regurgitation and pseudoaneurysm of the aortic root diagnosed 22 months after a road traffic accident. The surgical treatment consisted of exclusion of the pseudoaneurysm with direct closure of the entry tear in the right coronary sinus followed by insertion of a Toronto stentless prosthesis (St. Jude Medical, St. Paul, MN). This surgical approach aimed to cover the repaired entry tear ensuring exclusion of the site. Recovery was uneventful and 12 month follow-up was unremarkable.






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