Redo aortic valve reconstruction as saving surgery in a patient with severe rheumatoid cardiac disease

Authors

  • Pedro Rojas Cardiovascular Surgery Department, Instituto Nacional Cardiovascular INCOR, Lima, Peru.
  • Josué Sisniegas Cardiovascular Surgery Department, Instituto Nacional Cardiovascular INCOR, Lima, Peru.
  • Cristian Aguilar Laboratory of Pathology. Instituto Nacional Cardiovascular INCOR, Lima, Peru.
  • Necemio Aranda Cardiovascular Surgery Department, Instituto Nacional Cardiovascular INCOR, Lima, Peru.
  • Josías Ríos Cardiovascular Surgery Department, Instituto Nacional Cardiovascular INCOR, Lima, Peru. https://orcid.org/0000-0002-4396-7954

DOI:

https://doi.org/10.47487/apcyccv.v2i2.128

Keywords:

rheumatoid arthritis, reoperation, aortic valve

Abstract

The combination of aortic valve regurgitation, rheumatoid aortitis, and subaortic stenosis is not frequent in patients with rheumatoid arthritis. Moreover, the surgical treatment of these entities may be challenging with non-adequate results. We report a case of a patient with severe aortic valve regurgitation, inaccessible aortic root secondary to rheumatoid aortitis, and severe subaortic stenosis initially treated by aortic valve replacement. We reoperated the patient due to acute prosthetic valve failure performing an aortic valve reconstruction using bovine pericardium and Ozaki’s technique with good outcomes.

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References

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Published

2021-05-21

Issue

Section

Case reports

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