Operative, echocardiographic and angiocardiographic details of an adult with subvalvular aortic aneurysm with severe aortic regurgitation undergoing patch closure of the aneurysm and aortic valve replacement
Published on: 2019-11-15
A 21-year-old woman with idiopathic subaortic aneurysm and severe aortic regurgitation was successfully treated by Dacron patch closure of the aneurysm and concomitant aortic valve replacement (AVR) and is reported for its rarity. The exact diagnosis is relatively easy to make by transesophageal echocardiography and/or computerized tomographic angiography, provided the possibility is entertained. Because of anginal pain and cardiac failure, surgical repair with AVR was deemed the best curative option to avoid further deterioration. Published reports detailing the diagnostic evaluation and surgical treatment of subaortic left ventricular annular aneurysms are also discussed. Transesophageal echocardiography is crucial in assessing the size of the ductus and confirming the adequacy of repair.
Left ventricular aneurysms; Myocardial ischemia; Subvalvular aortic aneurysm; Sudden death