Quadricuspid aortic valve repair by neo-cuspidization of an accessory cusp using autologous pericardium.
Gen Thorac Cardiovasc Surg
; 68(12): 1509-1512, 2020 Dec.
Article
em En
| MEDLINE
| ID: mdl-32285304
ABSTRACT
We present a successful case of the management of a 46-year-old woman with an abnormal aortic valve formed by four cusps (three equal large cusps and one smaller cusp; type B according to the Hurwitz and Roberts classification) with a marked loss of coaptation that caused a severe aortic insufficiency (AI). The patient underwent an aortic valvuloplasty of the defect using the glutaraldehyde (GA)-pretreated autologous pericardium, restoring the subnormal function and competency of the aortic valve. The postoperative course was unremarkable. The early follow-up showed a trivial AI and a significant reduction of regurgitant volume was identified in a cardiac magnetic resonance imaging (MRI) when compared to the preoperative state (27.2 vs. 2.1 ml). The follow-up transthoracic echocardiography 1 year after the surgery showed mild AI.
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Base de dados:
MEDLINE
Assunto principal:
Insuficiência da Valva Aórtica
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Válvula Aórtica Quadricúspide
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Procedimentos Cirúrgicos Cardíacos
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article