Table 1 Case series of 9 patients who underwent “spiral” aortoplasty with concomitant aortic valve replacement +/− CABG +/− mitral valve repair
Series no. | Age / Sex | AAD before surgery | LV EF | Diagnosis | Bicuspid aortic valve | Euro Score | Procedure | Follow-up time | Condition on follow-up |
|---|---|---|---|---|---|---|---|---|---|
1 | 53 M | 4.7 cm | 30% | CHF | + | 54.50% | Aortoplasty | 30 months | Stable. AAD 3.8 cm |
Severe AI | AVR (mosaic #27) | ||||||||
Moderate MR | MV repair (annuloplasty #30) | ||||||||
Atrial fibrillation | MAZE | ||||||||
Stroke | LAA clot extraction and ligation | ||||||||
Clot in the LAA | |||||||||
2 | 70 M | 4.5 cm | 25% | CHF | + | 20.40% | Aortoplasty | 28 months | Stable. AAD 3.6 cm |
Severe AI | AVR (mosaic #27) | ||||||||
3 | 60 M | 4.5 cm | 35% | Severe AS | 17.70% | Aortoplasty | 25 months | Stable. AAD 3.7 cm | |
CAD: LAD stenosis | AVR (mosaic #25) | ||||||||
CABG: LIMA-LAD | |||||||||
4 | 67 M | 4.6 cm | 30% | Severe AS | 20.20% | Aortoplasty | 21 months | Stable. AAD 3.8 cm | |
Moderate MR | AVR (mosaic #21) | ||||||||
CAD: LAD stenosis | MV repair (annuloplasty #28) | ||||||||
CABG: LIMA-LAD | |||||||||
5 | 62 F | 4.5 cm | 40% | Severe AS | + | 9.50% | Aortoplasty | 17 months | Stable. AAD 3.3 cm |
Mild MR | AVR (mosaic #23) | ||||||||
CAD: ostial RCA stenosis | CABG: SVG-RCA | ||||||||
6 | 55 M | 4.8 cm | 15% | Severe AI | + | 24.00% | Aortoplasty | 16 months | Stable. AAD 3.9 cm |
CAD: 3 vessel disease | AVR (mosaic #27) | ||||||||
CABG: LIMA-LAD, SVG-OM, SVG-PDA | |||||||||
7 | 50 M | 4.8 cm | 20% | CHF | + | 84.70% | Aortoplasty | 14 months | AAD 3.7 cm. The patient presented with aortic prosthesis endocarditis and aortic root abscess 10 months after the first operation. He underwent redo surgery with aortic annulus reconstruction and AVR. The patient was discharged on chronic dialysis and died 4 months later due to refractory heart failure. |
Severe AI | AVR (mosaic #27) | ||||||||
Severe MR | MV repair (annuloplasty #30) | ||||||||
Chronic kidney disease (creatinine 200 μmol/L) | |||||||||
8 | 66 M | 4.6 cm | 40% | Severe AI | 12.80% | Aortoplasty | 6 months | Stable. AAD 3.5 cm | |
CAD: RCA total occlusion | AVR (mosaic #25) | ||||||||
CABG: SVG-PDA | |||||||||
9 | 72 M | 4.5 cm | 40% | Severe AS | + | 11.00% | Aortoplasty | ||
CAD: 3 vessel disease | AVR (mosaic #23) | 4 months | Stable. AAD 3.5 cm | ||||||
CABG: LIMA-LAD, SVG-OM, SVG-PDA |