Bental procedure on aortic valve disesase and ascending aortic root aneurysm
Aortic valve sparing operation in patien with ascending aorta and/or aortic root aneurysm have been performed and become an increasingly popular alternative for replacement of the ascending aortic root aneurysm with aortic valve disease. Implantation of a prosthetic valve conduit (Bentall procedure) and modified be protrusion to LVOT, mild aortic stenosis, ascending aortic root aneurysm and coronay artery disease corrected by benttal procedure.
A 64 years old man was diagnosed to have severe aortic regurgitation and heart failure functional class II. CT thorax showed ascending aortic root aneurysm. Multiple vessel disease was shown by coronary arteriography indicated to CABG. Echocardiogram showed RCC protrusion to LVOT, mild AV stenosis, mild but morphologically normal mitral regurgitation, severe LV dilatation (LVIDD 84 mm) decrease LV systolic function by simpson’s rule (EF 38%) , global hypokinesia and mild secondary pulmonary hypertension (estimated PASP 49 mmHg). Bental procedure with bioprothesa graft conduit to replaced aortic valve and ascending aortic root after CABG can be performed successfully. Transthoracic-two dimensional echocardiograpy second day post procedure revealed normal AV function.
By : Mulslim I, Adipranoto JD, Spratt P
Departement of cardiology and vascular medicine airlangga university
Aortic valve sparing operation in patien with ascending aorta and/or aortic root aneurysm have been performed and become an increasingly popular alternative for replacement of the ascending aortic root aneurysm with aortic valve disease. Implantation of a prosthetic valve conduit (Bentall procedure) and modified be protrusion to LVOT, mild aortic stenosis, ascending aortic root aneurysm and coronay artery disease corrected by benttal procedure.
A 64 years old man was diagnosed to have severe aortic regurgitation and heart failure functional class II. CT thorax showed ascending aortic root aneurysm. Multiple vessel disease was shown by coronary arteriography indicated to CABG. Echocardiogram showed RCC protrusion to LVOT, mild AV stenosis, mild but morphologically normal mitral regurgitation, severe LV dilatation (LVIDD 84 mm) decrease LV systolic function by simpson’s rule (EF 38%) , global hypokinesia and mild secondary pulmonary hypertension (estimated PASP 49 mmHg). Bental procedure with bioprothesa graft conduit to replaced aortic valve and ascending aortic root after CABG can be performed successfully. Transthoracic-two dimensional echocardiograpy second day post procedure revealed normal AV function.
By : Mulslim I, Adipranoto JD, Spratt P
Departement of cardiology and vascular medicine airlangga university
