Recurrent Aortic Prosthetic Valve Detachment: A Surgical Modification to Solve the Problem

Nasso G1*#, Vignaroli W2#, Bonifazi R1, Condello I1 and Speziale G1,2

1Department of Cardiovascular Surgery, GVM Care & Research, Anthea Hospital, Italy
2Department of Cardiovascular Surgery, GVM Care & Research, San Carlo di Nancy, Italy
#These authors contributed equally to this work

^*Correspondance to: Giuseppe Nasso 

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Abstract:

We report a case of a 60-years old man, with history of cardiac surgery for aortic valve regurgitation and two successive surgical operations for aortic prosthesis detachment, presented for worsening dyspnea. In the surgical room we found a prosthesis detachment at the level of the right coronary sinus, with severe traction of the anterior mitral leaflet determining the severe regurgitation. In addition, we found a recess under the right coronary sinus, probably a consequence of previous endocarditis. Considering all the surgical findings and the high risk of a new detachment, we opted for a surgical modification, implanting the mechanical prothesis immediately below the coronary ostia with 2-0 U-points, passed into the thickness of the aortic wall and reinforced with external pledgets of Teflon. The surgical procedure and the hospitalization continued linearly without adverse events.

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Cite the Article:

Nasso G, Vignaroli W, Bonifazi R, Condello I, Speziale G. Recurrent Aortic Prosthetic Valve Detachment: A Surgical Modification to Solve the Problem. Ann Clin Case Rep. 2023; 8: 2432..