Aortic Root Replacement with a Valve Sparing Technique for Quadricuspid Aortic Valve

(Division of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Kobe, Japan)

Katsuhiro Yamanaka Atsushi Omura Shiori Shirasaka
Shunsuke Miyahara Yoshikatsu Nomura Toshihito Sakamoto
Takeshi Inoue Hitoshi Minami Kenji Okada
Yutaka Okita
A 67-year-old man with ascending aortic aneurysm was referred to our hospital. Transthoracic echocardiography showed severe aortic regurgitation with annuloaortic ectasia and transesophageal echocardiography revealed a quadricuspid aortic valve. This patient underwent aortic root replacement with a valve sparing technique. Under deep hypothermic circulatory arrest with retrograde cerebral perfusion, replacement of the ascending aorta was successfully performed. The postoperative course was uneventful. This patient is doing well 6 months after surgery without recurrence of aortic regurgitation.
  Jpn. J. Cardiovasc. Surg. 42:412-415(2013)

Keywords:quadricuspid aortic valve, aortic root replacement with a valve sparing technique, valve repair, annuloaortic ectasia