Posterior Aortoplasty for Isolated Aortic Valve Replacement with Narrow Aorta’S Ostium

  • V. V. Popov National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • O. O. Bolshak National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • L. I. Tihonenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • O. V. Horoshkovataya National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • L. A. Klimenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • S. P. Spysarenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • T. A. Malysheva National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
Keywords: narrow aorta`s ostium, dilatation of root and ascending aorta, aortic valve replacement, cardiopulmonary bypass

Abstract

Purpose of this investigation is research of possibilities of reconstruction of aorta`s ostium and ascending aorta (RAOAA) during aortic valve replacement (AVR) in patents (pts) with narrow aorta`s ostium. In analyzed group were included 103 pts with aortic valve diseases and narrow aorta’s ostium who were operated in Institute from 01.05.2009 to 01.01.2016. AVR with RAOAA was performed in all cases by original methodic in which aorta’s incision was made in the middle of non-coronary leaflet, and then into central fibrous body of right trigone on depth 7–9 mm. Aorta’s segment in non-coronary leaflet was dissected in width of 1 cm. Vascutak`s patch 4x3 cm was replaced at the basement of non-coronary sinus and ascending aorta.

Among 103 operated 7 pts died on during hospital period (30 days). There were no remarks to surgical correction. Peak systolic gradient on outlet of left ventricle was before operation 115,1±11,5 mm Hg, and on a aortic prosthesis at discharge 25,1±4,3 mm Hg.

Reconstruction of narrow aorta’s ostium an ascending aorta during AVR by proposed method of posterior aortoplasty is highly effective intervention.

References

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2. Konno S., Imai Y., Iida Y., et al. A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring // J. Thorac. Cardiovasc. Surg. – 1975. – Vol. 70. – P. 909.

3. Manouguian S., Seybold-Epting W. Patch enlargement of the aortic valve ring by extending the aortic incision into the anterior mitral leaflet: new operative technique // J. Thorac. Cardiovasc. Surg. – 1979. – Vol. 78. – P. 402.

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Published
2016-05-16
How to Cite
Popov, V. V., Bolshak, O. O., Tihonenko, L. I., Horoshkovataya, O. V., Klimenko, L. A., Spysarenko, S. P., & Malysheva, T. A. (2016). Posterior Aortoplasty for Isolated Aortic Valve Replacement with Narrow Aorta’S Ostium. Ukrainian Journal of Cardiovascular Surgery, (1 (24), 42-44. Retrieved from http://cvs.org.ua/index.php/ujcvs/article/view/263
Section
ACQUIRED HEART DISEASES

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