Aortic Root Replacement for Bicuspid Aortic Valve and Annuloaortic Ectasia in a Patient with Ankylosing Spondylitis

(Department of Cardiovascular Surgery, Yodogawa Christian Hospital, Osaka, Japan)

Hideki Takahashi Takashi Azami
A 48-year-old man was admitted with shortness of breath. He had been given a diagnosis of ankylosing spondylitis by an orthopedic surgeon 20 years previously. A grade III/VI to-and-fro murmur was audible at the left sternal border. Echocardiography revealed moderate to severe aortic regurgitation with annular dilatation. He had also suffered complained rigidity of the neck muscles and back pain for 20 years. He underwent aortic root replacement and his postoperative course was uneventful. Aortic valve regurgitation with ankylosing spondylitis in Japan has been seldom reported, compared with European or American. We discuss surgical problems and the management of these lesions are discussed.
  Jpn. J. Cardiovasc. Surg. 40:130-134(2011)

Keywords:ankylosing spondylitis, bicuspid aortic valve, annuloaortic ectasia, aortic regurgitation, aortic root replacement