Ross, Hybrid Arch, and Frozen Elephant Trunk Reconstruction for Late Complications of Bicuspid Aortic Valve and Aortopathy

详细信息    查看全文

• 作者：Matthew Valdis ; MD^a ; Gaetano DeRose ; MD ; FRCSC^b ; Linrui Guo ; MD^a ; Michael W.A. Chu ; MD ; FRCSC^a ; ^{michael.chu@lhsc.on.ca}
• 刊名：Canadian Journal of Cardiology
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：32
• 期：12
• 页码：1576.e11-1576.e14
• 全文大小：938 K
• 卷排序：32

文摘

Young patients with bicuspid aortic valve disease and aortopathy remain a clinical challenge, with many requiring multiple corrective operations throughout their lifetimes. Innovative surgical approaches are often required to address complex aortic pathologic conditions but leave patients at risk for reintervention, lifelong anticoagulation, and suboptimal hemodynamics. We describe an active 44-year-old female triathlete with recurrent bicuspid aortic stenosis, a small aortic root, a hypoplastic aortic arch and complex distal arch, and a descending aortic aneurysm, who underwent a single-stage reconstruction with a combined Ross procedure, hybrid arch, and frozen elephant trunk reconstruction.