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Aortic Insufficiency in a Patient with Marfan Syndrome after Aortic Root Reconstruction with a Tailored-Sinus Graft

By Igor E. Konstantinov and Kenton J. Zehr


A patient with Marfan syndrome underwent valve-preserving aortic root reconstruction with a Robicsek-Thubrikar graft. Intraoperative transesophageal echocardiography showed aortic insufficiency after extracorporeal circulation was discontinued. Placing 3 subcommissural annuloplasty sutures corrected the severe aortic insufficiency. Herein, we discuss the mechanism and prevention of aortic regurgitation after aortic root replacement with a new graft that contains pre-designed aortic sinuses. (Tex Heart Inst J 2003;30:243–5

Topics: Brief Communications
Year: 2003
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Provided by: PubMed Central
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