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Severely calcified bicuspid aortic valve stenosis after valve‐sparing root replacement: A word of caution
Author(s) -
Fukunaga Naoto,
Butany Jagdish,
Feindel Christopher M.
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14348
Subject(s) - medicine , bicuspid aortic valve , calcification , stenosis , aortic valve , cardiology , bicuspid valve , aortic valve replacement , aortic root , valve replacement , aortic valve stenosis , radiology , aorta
A 58‐year‐old man was admitted for reoperation for severe aortic stenosis in a previously preserved bicuspid aortic valve (BAV). He had undergone valve‐sparing root replacement (VSSR) for dilated aortic root 6 years ago. Transesophageal echocardiography following VSSR showed good valve function with no aortic incompetence. However, the BAV became stenotic causing shortness of breath. At reoperation, the preserved BAV was noted to be fibrotic and calcified and had a fixed rigid small orifice. It was replaced with a biological valve plus root enlargement. Macroscopic finding showed thickening of the cusps and nodular calcification. Microscopic examination revealed severe nodular calcification.