Work

Technique for repair of recurrent aortic valve dehiscence

Year: 2025

Type: article

Abstract: Re-operation for aortic paravalvular leak or multiple dehiscences due to Behcet's disease or unknown causes remains a challenge. We describe a modified transmural sub-coronary suturing technique to address this issue. Between August 2022 and May 2024, the modified transmural sub-coronary suturing technique was applied in five cases of severe aortic paravalvular leak. The median follow-up period was 14 months (ranging from 8 to 19 months) with promising outcomes: no mortality, no significant paravalvular leak, no atrioventricular block, and no need of re-operation. Our transmural sub-coronary suturing technique with external Dacron strip reinforcement demonstrates good short-term outcomes. Further long-term follow-up is needed to evaluate the long-term effectiveness of this technique.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf077

Authors: Hung Dung Van, Chi Linh Chau, Minh Chau Van Nguyen

Institution: Pham Ngoc Thach University of Medicine

Language: English

Topic: Cardiac Valve Diseases and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000