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[Ross procedure with aortic replacement for aortic stenosis with ascending aortic aneurysm: report of a case].

Authors
  • Suzuki, K
  • Matsumura, G
  • Ishihara, K
  • Sakamoto, T
  • Ishiyama, M
  • Morishima, K
  • Yamamoto, N
  • Hibino, N
  • Kurosawa, H
Type
Published Article
Journal
Kyobu geka. The Japanese journal of thoracic surgery
Publication Date
Oct 01, 2008
Volume
61
Issue
11
Pages
989–992
Identifiers
PMID: 18939439
Source
Medline
License
Unknown

Abstract

Bicuspid aortic valve (BAV) is a common congenital heart disease, and it is well known to be a risk factor for ascending aortic dilatation and dissection. We here report a case of 34-year-old woman who underwent Ross procedure with ascending aortic replacement under the diagnosis of subaortic stenosis and ascending aortic aneurysm. She was pointed out to have heart murmur soon after the birth diagnosed as patent ductus arteriosus. The ductus was ligated when she was 3-years-old, however, heart murmur remained. Further examinations revealed that she also had aortic stenosis with BAV. During her 20-year-follow-up, subaortic stenosis and ascending aorta ectasia were also progressed. Pathological examinations of resected ascending aortic wall showed mucoid degeneration and laceration of collagen fibers, suggesting the fragility of dilated aortic wall with BAV.

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