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

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 re...

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Detalles Bibliográficos
Autores: Rojas, Pedro, Sisniegas, Josué, Aguilar, Cristian, Aranda, Necemio, Ríos, Josías
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Perú
Institución:Instituto Nacional Cardiovascular
Repositorio:Archivos peruanos de cardiología y cirugía cardiovascular
Idioma:español
OAI Identifier:oai:apcyccv.org.pe:article/128
Acceso en línea:https://apcyccv.org.pe/index.php/apccc/article/view/128
Access Level:acceso abierto
Palabra clave:Reoperación
Artritis reumatoide
válvula aórtica
rheumatoid arthritis
reoperation
aortic valve
Descripción
Sumario: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.