Document Detail


Aneurysm of the right sinus of Valsalva after aortic valve replacement in Takayasu arteritis.
MedLine Citation:
PMID:  17338759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We herein report a case with an aneurysm of the right sinus of Valsalva, which developed 14 years after an aortic valve replacement (AVR) for aortic regurgitation caused by Takayasu arteritis. The aortic wall around the right coronary artery ostium showed calcification, as a result, the modified Bentall procedure and coronary artery bypass to the right coronary artery were successfully performed. A pathological study of the resected aortic sinus wall showed a disruption of the elastic fibers in the media, granuloma formation, and a marked proliferation of the collagen fibers in the adventitia, and these findings were compatible with Takayasu arteritis. The development of an aneurysm of the sinus of Valsalva late after AVR indicates the necessity of a close and lifelong follow-up for patients with Takayasu arteritis, especially focusing on the aortic root morphology.
Authors:
Masaru Yoshikai; Hiroyuki Ohnishi; Hideyuki Fumoto; Akira Furutachi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  22     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2007 Mar-Apr
Date Detail:
Created Date:  2007-03-06     Completed Date:  2007-08-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  162-4     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Shin-Koga Hospital, Fukuoka, Japan. myoshi@toq.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Aneurysm / etiology*,  surgery
Aortic Valve Insufficiency / etiology*,  surgery*
Coronary Artery Bypass
Dilatation, Pathologic / complications,  surgery
Female
Heart Valve Prosthesis Implantation
Humans
Reoperation
Sinus of Valsalva* / pathology,  surgery
Takayasu Arteritis / complications*
Tunica Media / pathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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