Key result
Valve-sparing reimplantation with cusp plication successfully treated neoaortic root dilatation and severe aortic valve regurgitation with an unbalanced cusp, resulting in a competent valve.
Why the study?
Does valve-sparing reimplantation with cusp plication improve valve competence in a patient with neoaortic root dilatation and regurgitation with an unbalanced cusp after an arterial switch operation?
Case Report (n=1)
Does valve-sparing reimplantation with cusp plication improve valve competence in a patient with neoaortic root dilatation and regurgitation with an unbalanced cusp after an arterial switch operation?
Valve-sparing reimplantation with cusp plication can be successfully performed for neoaortic root dilatation and severe regurgitation even with an unbalanced cusp after an arterial switch operation.
A 13-year-old male presented with neoaortic root dilatation and severe aortic valve regurgitation 13 years following an arterial switch operation. The valve cusps were unbalanced due to an enlarged non-coronary cusp. A valve-sparing reimplantation with a cusp plication was performed which resulted in a competent valve with trivial regurgitation. Thus, even in an unbalanced cusp, valve-sparing reimplantation can be used for neoaortic root dilatation and valve regurgitation after an arterial switch operation.
No takes yet. Share an insight, caveat, or question.
Yoneyama et al. (2018) conducted a case report in Neoaortic root dilatation and severe aortic valve regurgitation after arterial switch operation (n=1). Valve-sparing reimplantation with a cusp plication was evaluated on Valve competence. Valve-sparing reimplantation with cusp plication successfully treated neoaortic root dilatation and severe aortic valve regurgitation with an unbalanced cusp, resulting in a competent valve.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: