Graft-valve dehiscence as the mechanism of remodeling failure in connective tissue disorders: The case for reimplantation

Figures

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  Graft-valve dehiscence as the mechanism of late failure after remodeling procedure.

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  Figure 1. Graphical presentation of root size progression during follow-up after remodeling. Case 1: purple line, case 2: blue line, case 3: green line, and case 4: red line. Case 1 and 3 had index procedure in another institution, which explains the lack of echocardiography or computed tomography measurements available.

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  Figure 2. Long-axis transesophageal echocardiographic views showing root dilatation and aortic insufficiency in cases 1 (A), 2 (C), and 3 (E). Intraoperative pictures showing graft-valve dehiscence (white arrows) in cases 1 (B), 2 (D), and 3 (F).

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  Figure E1. CT reconstructed view showing root dilatation in case 2 (A), case 3 (B) and case 4 (C). CT, Computed tomography.

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  Figure E2. Long-axis transesophageal echocardiographic views showing root dilation and AI in case 4. AI, Aortic insufficiency.