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Journal of Cardiothoracic Surgery

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Open Access 01-12-2022 | Aortic Valve Replacement | Case report

Severe mitral valve insufficiency caused by standard surgical aortic valve implantation and its reparation using suture-less prosthesis

Authors: Mahmoud Al-Obeidallah, Marian Kohut, Milan Štengl

Published in: Journal of Cardiothoracic Surgery | Issue 1/2022

Abstract

Background

Aortic valve stenosis is the most frequent cardiac valve pathology in the western world. Surgical aortic valve replacement is the gold standard for the treatment of significant degenerative aortic valve diseases.

Case presentation

This case report highlights an unexpected abnormal iatrogenic shortening of the aorto-mitral continuity and its deformity, during traditional AVR using sutured stented aortic prosthesis as the first choice, which caused significant mitral valve regurgitation. The suture-less prosthesis was a rescue choice to restore the geometry and eliminate the deformation of the aorto-mitral continuity.

Conclusions

Aortic valve replacement using suture-less prosthesis could be a valuable optional choice for lowering the risk of deformation of the aortic annulus and aorto-mitral continuity. It might provide better outcomes in combined procedures.

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10.

Ghoneim A, Bouhout I, Demers P, Mazine A, Francispillai M, El-Hamamsy I, et al. Management of small aortic annulus in the era of sutureless valves: a comparative study among different biological options. J Thorac Cardiovasc Surg. 2016;152:1019–28.CrossRefPubMed

Title: Severe mitral valve insufficiency caused by standard surgical aortic valve implantation and its reparation using suture-less prosthesis
Authors: Mahmoud Al-Obeidallah
Marian Kohut
Milan Štengl
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Aortic Valve Replacement
Mitral Valve Insufficiency
Aortic Valve Stenosis
Aortic Valve Replacement
Aortic Valve Replacement
Published in: Journal of Cardiothoracic Surgery / Issue 1/2022
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-022-01896-6

At a glance: The STEP trials

Springer Medicine

Severe mitral valve insufficiency caused by standard surgical aortic valve implantation and its reparation using suture-less prosthesis

Abstract

Background

Case presentation

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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