AORTOVENTRICULOPLASTY IN A PATIENT WITH COMPLEX LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION, MITRAL VALVE STENOSIS AND ANEURYSM OF THE ASCENDING AORTA: CASE REPORT

Hasan Karabulut, Cem Alhan, Fevzi Toraman, Serdar Evrenkaya, Sümer Tarcan

Acıbadem Hastanesi, Kalp Damar Cerrahisi Bölümü, İstanbul

We describe a new method of aortoventriculoplasty in a patient with calcified mitral stenosis, aortic valvular stenosis, severe left ventricular outflow tract obstruction, and aneurysm of the ascending aorta. This complex pathology was successfully treated with replacement of the both valves and a tubular dacron graft. The proximal end of the dacron tube was tailored as a patch for the repair of the ventricular septum and the aortic root, and the distal end was anastomosed to the distal ascending aorta. The patient had an uneventful recovery and postoperative echocardiography showed no significant residual gradient on the left ventricular outflow tract.

Keywords : Aortoventiculoplasty, mitral stenosis, aneurysm of the ascending aorta

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