Mini Aortic Valve Replacement Converted to Bentall Procedure Secondary to Chronic Type A Aortic Dissection.

Document Type

Article

Publication Date

2-8-2024

Publication Title

Cureus

Abstract

In our case, a 46-year-old female with severe aortic insufficiency presented for minimally invasive aortic valve replacement. The patient was taken to the operating room, where transesophageal echocardiography showed severe aortic regurgitation with prolapse of the non-coronary cusp. The patient was placed on a cardiopulmonary bypass machine with peripheral cannulation. The aorta was cross-clamped, and an aortotomy was made. Despite multiple attempts, the left main coronary ostium was not visible. A sternotomy was quickly performed, and a newly discovered chronic type A dissection, obscuring the left main coronary artery, was found. Seventeen minutes after the cross-clamp was placed, the left main was transected, and cardioplegia was delivered. The patient then underwent a Bentall procedure with an aortic valve and root replacement.

Volume

16

Issue

2

First Page

53838

DOI

10.7759/cureus.53838

ISSN

2168-8184

PubMed ID

38333001

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