Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Jan 12;1(2):277-278.
doi: 10.1016/j.atssr.2022.12.012. eCollection 2023 Jun.

Repair of a Chronic DeBakey Type II Aortic Dissection With Aortic Valve Insufficiency

Timothy W James  1 , Joshua N Baker  2 , Vinay Badhwar  3 , J Scott Rankin  3
Affiliations
Case Reports

Repair of a Chronic DeBakey Type II Aortic Dissection With Aortic Valve Insufficiency

Timothy W James et al. Ann Thorac Surg Short Rep. .

Abstract

Ascending aortic aneurysms with aortic insufficiency caused by chronic DeBakey type II dissections have been difficult to repair. A 70-year-old woman presented with heart failure, severe aortic insufficiency, and a large ascending aortic aneurysm. She had a trileaflet valve and a healed chronic proximal intimal flap. A 19-mm ring was sutured beneath the annulus, a 28-mm Dacron graft was anastomosed to zone 2, and the bovine innominate artery was connected to the graft. After bypass, the leaflets moved well, residual leak was negligible, and mean pressure gradient was 7 mm Hg. The patient recovered uneventfully.

PubMed Disclaimer

Figures

Figure
Figure
Insufficient aortic valve due to chronic proximal dissection (arrows indicate healed intimal flaps), repaired with geometric ring annuloplasty and ascending aortic graft.
See this image and copyright information in PMC

References

    1. DeBakey M.E., Cooley M.A., Creech O. Surgical considerations of dissecting aneurysm of the aorta. Ann Surg. 1955;142:586–612. - PMC - PubMed
    1. Rankin J.S., Wei L.M., Downey R.S., et al. Aortic valve repair using geometric ring annuloplasty. Oper Tech Thorac Cardiovasc Surg. 2021;26:173–183.
    1. Baker J.N., Klokocovnik T., Miceli A., et al. Minimally invasive aortic valve repair using geometric ring annuloplasty. J Card Surg. 2022;37:70–75. - PubMed
    1. Rankin J.S., Mazzitelli D., Fischlein T.J., et al. Geometric ring annuloplasty for aortic valve repair during aortic aneurysm surgery: two-year clinical trial results. Innovations (Phila) 2018;13:248–253. - PubMed
    1. Gerdisch M.W., Reece T.B., Emerson D., et al. Early results of geometric ring annuloplasty for bicuspid aortic valve repair during aortic aneurysm surgery. JTCVS Tech. 2022;14:55–65. - PMC - PubMed

Publication types

LinkOut - more resources