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Aortic root replacement for aortic root aneurysm with severe aortic regurgitation and incidentally detected left ventricular hyper-trabeculation/noncompaction

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A 54-year-old male with severe aortic regurgitation (AR), aortic root aneurysm, left ventricular hyper-trabeculation/noncompaction (LVHT) and systolic dysfunction with a left ventricular ejection fraction (LVEF) of 52% underwent successful aortic root replacement. Intraoperative video-endoscopy confirmed LVHT. At 3-year follow-up, he remains in an excellent clinical condition and echocardiography shows an improvement of the systolic function, LVHT and LVEF of 66%. Timely surgical correction of severe AR may also lead to improvement of systolic function in a patient with LVHT.

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References

  1. Finsterer J, Stöllberger C. Left ventricular noncompaction syndrome: genetic insights and therapeutic perspectives. Curr Cardiol Rep. 2020;22:84.

    Article  Google Scholar 

  2. Stöllberger C, Finsterer J. Correlation between pathoanatomic findings, imaging modalities, and genetic findings in patients with left ventricular hypertrabeculation/noncompaction. Expert Rev Cardiovasc Ther. 2021;19:595–606.

    Article  Google Scholar 

  3. Barbukhatty KO, Boldyrev SY, Rossokha OA, Kosmacheva ED, Porhanov VA. A rare case of coronary artery bypass grafting in a patient with left ventricular noncompaction. Ann Thorac Surg. 2010;90:2047–9.

    Article  Google Scholar 

  4. Eurlings LWM, Pinto YM, Dennert RM, Bekkers SCAM. Reversible isolated left ventricular non-compaction? Int J Cardiol. 2009;136:e35-36.

    Article  Google Scholar 

  5. Hirose T, Kawata T, Hamada Y, Tabayashi N, Abe T, Taniguchi S. Aortic valve replacement in a patient with left ventricular noncompaction. Asian Cardiovasc Thorac Ann. 2015;23:1065–7.

    Article  Google Scholar 

  6. Tanaka H, Kimura T, Miyamoto S. Aortic valve replacement for aortic regurgitation with rare left ventricular non-compaction. Ann Thorac Cardiovasc Surg. 2014;20:76–9.

    Article  Google Scholar 

  7. Sef D, Birdi I. Clinically significant incidental findings during preoperative computed tomography of patients undergoing cardiac surgery. Interact Cardiovasc Thorac Surg. 2020;31:629–31.

    Article  Google Scholar 

  8. Shimamoto T, Marui A, Yamanaka K, et al. Left ventricular restoration surgery for isolated left ventricular noncompaction: report of the first successful case. J Thorac Cardiovasc Surg. 2007;134:246–7.

    Article  Google Scholar 

  9. Gan C, Hu J, Luo S, An Q, Lin K. Surgical restoration of left ventricular diastolic function: possible treatment for noncompaction cardiomyopathy. J Card Surg. 2014;29:827–8.

    Article  Google Scholar 

  10. Takamatsu M, Kamohara K, Sato M, Koga Y. Effect of noncompacted myocardial resection on isolated left ventricular noncompaction. Ann Thorac Surg. 2020;110:e387–9.

    Article  Google Scholar 

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Authors and Affiliations

Authors

Contributions

Sergey Boldyrev, Josef Finsterer: conceptualization; investigation; methodology; writing—original draft. Claudia Stöllberger, Valentina Suslova, Kirill Barbukhatty, Davorin Sef: conceptualization; investigation; validation; writing—review and editing.

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Correspondence to Davorin Sef.

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The patient agreed to the publication of this case report and images.

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All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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The authors declare no competing interests.

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Boldyrev, S., Finsterer, J., Stöllberger, C. et al. Aortic root replacement for aortic root aneurysm with severe aortic regurgitation and incidentally detected left ventricular hyper-trabeculation/noncompaction. Indian J Thorac Cardiovasc Surg 38, 533–536 (2022). https://doi.org/10.1007/s12055-022-01371-w

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  • DOI: https://doi.org/10.1007/s12055-022-01371-w

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