A Successful Case of Concomitant Aortic Valve Replacement Using an Intravalvular Implantation Technique and Coronary Artery Bypass Grafting in Aortitis Syndrome

(First Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan)

Hiroo Matsushita Ryuji Kunitomo Junichi Utoh
Masahiko Hara Nobuo Kitamura
Aortitis syndrome is a disease of non-specific inflammation of the arterial wall which produces necrosis and fibrosis of the intima. Indications, timing, and the choice of operative procedures should be determined carefully because of its complex pathology. We encountered a patient with combined aortic valve incompetence and left main coronary artery stenosis due to aortitis syndrome. The patient received adequate steroid therapy and the inflammatory reaction was well controlled before surgery. The patient underwent concomitant aortic valve replacement using an intravalvular implantation technique and coronary artery bypass grafting. The hospital course of the patient was uneventful. Neither paravalvular leakage nor inflammatory recurrence was observed during 18 months of follow-up.
@Jpn. J. Cardiovasc. Surg. 29: 168-171 (2000)