Key result
Hemi-root replacement with diagonal resection of the aortic root preserving the left coronary sinus of Valsalva was performed for an infected pseudoaneurysm.
Why the study?
Standard aortic root management techniques may be complex for patients in poor preoperative condition, prompting the use of a simpler technique to shorten operative time and reduce coronary malperfusion.
Case Report (n=1)
Hemi-root replacement with diagonal resection preserving the left coronary sinus may be a simpler alternative for aortic root management in patients with poor preoperative conditions.
May simplify root repair in high-risk infected pseudoaneurysms; hypothesis-generating and requires prospective validation.
Either the Bentall-De Bono operation or the valve-sparing aortic root replacement is commonly chosen for aortic root management. However, if the preoperative condition is poor, a simpler technique is preferred; therefore, we performed hemi-root replacement with diagonal resection of the aortic root preserving the left coronary sinus of Valsalva. Because reimplantation of the left coronary artery is not required, this technique may shorten operative time and reduce coronary malperfusion, a condition characterized by reduced transit flow time and reduced cardiac contractility.
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Isa et al. (2022) conducted a case report in Infected pseudoaneurysm (n=1). Hemi-root replacement with diagonal resection of the aortic root was evaluated. Hemi-root replacement with diagonal resection of the aortic root preserving the left coronary sinus of Valsalva was performed for an infected pseudoaneurysm.
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