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Technical modification of aortic valve replacement in aortitis syndrome —Report of a case—

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Abstract

In patients who have aortitis syndrome associated with aortic regurgitation, aortic valve replacement (AVR) is frequently complicated by perivalvular leakage (PVL). A 47-year-old male with aortitis syndrome and severe aortic regurgitation was treated by AVR, modified in such a way as to prevent PVL. The aortic cusps were not resected and were placed between Teflon pledgets and the aortic annulus. We believe that this technique is useful for preventing PVL in patients with aortitis syndrome in which the aortic annulus is severely inflammed.

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References

  1. Takayasu M. A case with peculiar changes in retinal vessels. Nippon Ganka Gakkai Zasshi (Acta Soc Ophthalmol Jap) 1908; 12: 554–555. (in Japanese)

    Google Scholar 

  2. Yamamoto M, Lecky JW, Hiramatsu K. Takayasu arteritis—Radiographic and angiographic findings in 59 patients. Radiology 1986; 161: 329–334.

    Google Scholar 

  3. Hall S, Barr W, Lie JT, Stanson AW, Kazmier FJ, Hunder GG. Takayasu arteritis—A study of 32 North American patients. Medicine 1985; 64: 89–99.

    PubMed  CAS  Google Scholar 

  4. Inada K. Characteristics of vascular disease in Japan—Present status of aortitis syndrome. Myakkangaku (J Jap Coll Angiol) 1983; 23: 175–181. (in Japanese)

    Google Scholar 

  5. Ueda H, Sugiura M, Ito I, Saito Y, Morooka S. Aortic insufficiency associated with aortitis syndrome. Jap Heart J 1967; 8: 107–120.

    PubMed  CAS  Google Scholar 

  6. Isomura T, Hisatomi K, Yanagi I, Shimada S, Uraguchi K, Aoyagi S, Kosuga K, Ohishi K. The surgical treatment of aortic regurgitation secondary to aortitis. Ann Thorac Surg 1988; 45: 181–185.

    Article  PubMed  CAS  Google Scholar 

  7. Uehara K, Kitamura N, Ito T, Koyanagi H, Hashimoto A, Konno S. Severe aortic regurgitation in aortitis syndrome. Nippon Kyohbugeka Gakkai Zasshi (JJATS) 1976; 24: 188–197 (in Japanese)

    CAS  Google Scholar 

  8. Kawazoe K, Fujita T. Management of valve detachment following aortic valve replacement for aortic regurgitation due to aortitis. Rinshyoh Kyohbugeka (JATS) 1984–5; 4: 372–375. (English Abst.)

    CAS  Google Scholar 

  9. Nakano T, Isaka N, Takezawa H, Kusagawa M. Successful treatment of acute, severe aortic regurgitation caused by Takayasu's arteritis—A case report. Angiology 1986; 37: 524–529.

    PubMed  CAS  Google Scholar 

  10. Morigami K, Sakai K, Usui N, Muraguchi T, Tsukamoto Y, Kimura E, Nishizawa K. A case of aortitis syndrome subjected to aortic valve replacement in the active phase of the disease. Kyohbugeka (Jap J Thorac Surg) 1988; 41: 162–167. (English Abst.)

    CAS  Google Scholar 

  11. Murase M, Abe T, Tanaka M, Takeuchi E, Yasuura K. Indications and surgical techniques of aortic valve replacement for infective endocarditis and aortitis syndrome. Nippon Shinzohkekkangeka Gakkai Zasshi (JJCVS) 1987; 16: 248–251 (in Japanese)

    Google Scholar 

  12. Cooley DA, Ingram MT. Intravalvular implantation of mitral valve prostheses. Texas Heart Inst J 1987; 14: 188–193.

    CAS  Google Scholar 

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Kotsuka, Y., Tanaka, O., Nakajima, J. et al. Technical modification of aortic valve replacement in aortitis syndrome —Report of a case—. The Japanese Journal of Surgery 19, 232–236 (1989). https://doi.org/10.1007/BF02471592

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  • DOI: https://doi.org/10.1007/BF02471592

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