[A case report of surgical treatment for aortic regurgitation and coronary ostial stenosis associated with aortitis syndrome].

ABSTRACT

A 52-year-old female was presented to our hospital complaining of chest oppression and dyspnea on exercise. Preoperative angiography and catheterization revealed aortic regurgitation and ostial stenosis of the right coronary artery. Aortic valve replacement (AVR) with SJM 19 A and aortocoronary bypass (CABG) with saphenous vein graft were performed successfully. Histopathological examination of the aortic wall revealed healed phase aortitis syndrome. Post operative course was uneventful. For healed phase aortitis syndrome perioperative steroid administration was not necessary. However careful observation was recommended for long term complication such as recurrence of aortitis, valve detachment, perivalvular leakage and graft occlusion. This is the 16th case successfully treated with AVR and CABG for Aortitis syndrome.