Abstract
Congenital aortic aneurysms in the adult generally occur in patients with genetic abnormalities such as Marfan, Loeys-Dietz, or Ehlers-Danlos syndromes. Another indication for valve-sparing aortic aneurysm repair is a sinus of Valsalva aneurysm. Surgical management of aortic root pathology in these patients is dependent on aortic leaflet competence, which determines whether a valve-sparing or valve-replacement strategy should be implemented. Aneurysms causing dissections that extend into the transverse arch and descending aorta necessitate a different strategy, which repairs the dissection and re-establishes unobstructed flow into the brachiocephalic arteries. This management scheme is referred to as “de-branching.”
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Abbreviations
- Ao:
-
Aorta
- ASD:
-
Atrial septal defect
- AV:
-
Atrioventricular
- Circ:
-
Circumflex
- CPB:
-
Cardiopulmonary bypass
- LAD:
-
Left anterior descending artery
- LCA:
-
Left coronary artery
- LCC:
-
Left coronary cusp
- NCC:
-
Non-coronary cusp
- PA:
-
Pulmonary artery
- PTFE:
-
Polytetrafluoroethylene
- RA:
-
Right atrium
- RCA:
-
Right coronary artery
- RCC:
-
Right coronary cusp
- RV:
-
Right ventricle
- SCV:
-
Superior caval vein also known as superior vena cava (SVC)
- SVA:
-
Sinus of Valsalva aneurysm
- TV:
-
Tricuspid valve
- VSD:
-
Ventricular septal defect
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Figure Credits
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Figs. 19.16–19.18: Mavroudis C, Stewart RD, Backer CL, Rudra H, Vargo P, Jacobs ML. Reoperative techniques for complications following arterial switch. Ann Thorac Surg. 2011;92:1747–55. (Reproduced with permission from Elsevier)
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Fig. 19.29: Reproduced with permission from WL Gore & Associates, Inc. Flagstaff, AZ. (Copyright © 2018 WL Gore & Associates, Inc. All rights reserved)
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Fig. 19.30: Steves Ring W. Sinus of Valsalva. In: Mavroudis C, Backer C, editors. Pediatric Cardiac Surgery, fourth ed. Hoboken: Wiley-Blackwell; 2013. p. 704–14. (Reproduced with permission from John Wiley & Sons, Inc.)
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Martin, T., Mavroudis, C. (2020). Congenital Aortic Aneurysms. In: Mavroudis, C., Dearani, J. (eds) Atlas of Adult Congenital Heart Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14163-9_19
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DOI: https://doi.org/10.1007/978-3-030-14163-9_19
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