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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1471686
This article is part of the Research Topic Case Reports in Heart Surgery: 2024 View all 5 articles

Aortic Valve Replacement in a Bicuspid Aortic Valve Patient Followed by Reoperation for Ascending Aorta Rupture: a Case Report

Provisionally accepted
Yuehang Yang Yuehang Yang 1Xinyi Liu Xinyi Liu 2*Junwei Liu Junwei Liu 1*Jiawei Shi Jiawei Shi 1*Huadong Li Huadong Li 1*
  • 1 Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, wuhan, China
  • 2 Department of Cardiac Surgery, Beijing Anzhen Hopital, Capital Medical University, Beijing, China

The final, formatted version of the article will be published soon.

    Bicuspid aortic valve (BAV), the most common congenital cardiac anomaly, predisposes individuals to aortic stenosis and regurgitation due to valve degeneration.Abnormal hemodynamics, arterial wall characteristics, and genetic factors contribute to ascending aorta dilatation, potentially leading to severe complications like aortic dissection. Presently, the most recent guidelines propose that individuals with BAV requiring valve replacement due to valve dysfunction should undergo simultaneous replacement of the ascending aorta when the diameter of aortic dilatation exceeds 4.5 cm. A 60-year-old female patient previously underwent mechanical aortic valve replacement and ascending aortoplasty at our center due to aortic stenosis and a 4.3cm diameter ascending aorta. In the sixth postoperative year, she was readmitted due to ascending aorta rupture, resulting in blood entering the right atrium and causing acute right heart failure.We performed repair of the rupture and concomitant ascending aorta replacement to prevent further exacerbation of the patient's condition.

    Keywords: Ascending aortic dilatation, Aortic Rupture, Cardiac reoperation, bicuspid aortic valve, aortic valve replacement

    Received: 28 Jul 2024; Accepted: 25 Nov 2024.

    Copyright: © 2024 Yang, Liu, Liu, Shi and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Xinyi Liu, Department of Cardiac Surgery, Beijing Anzhen Hopital, Capital Medical University, Beijing, 100029, China
    Junwei Liu, Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, wuhan, China
    Jiawei Shi, Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, wuhan, China
    Huadong Li, Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, wuhan, China

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