Key result
The distribution and extent of calcification of the aortic homograft determined the operative procedure (aortic root replacement vs aortic valve replacement) for successful outcomes in three cases.
Case Report (n=3)
The distribution and extent of calcification of the aortic homograft is the most important factor to determine operative procedures during reoperation.
Calcification extent may guide reoperation choice in aortic homograft failure; leaves open generalizability beyond case reports.
Background: We report three cases undergoing reoperation with previous aortic homograft implantation due to structural valve deterioration. Case: For two cases with severe calcified aortic wall of the homograft and dehiscence of the aortic root, aortic root replacement was indicated. For the last case with less calcified aortic wall, aortic valve replacement was indicated via the aortotomy on the homograft, which required patch plasty for the defect of the stiff aortic wall. Conclusion: The distribution and extent of calcification of the aortic homograft would be the most important factor to determine operative procedures, contributing to successful outcomes.
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Gyoten et al. (2015) conducted a case report in Structural valve deterioration of previous aortic homograft (n=3). Reoperation (aortic root replacement or aortic valve replacement) was evaluated on Operative procedures and outcomes based on calcification. The distribution and extent of calcification of the aortic homograft determined the operative procedure (aortic root replacement vs aortic valve replacement) for successful outcomes in three cases.
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