Abstract:A 61-year-old woman was admitted to our hospital because of acute heart failure. The angiogram showed an enlarged aortic root and aortic incompetence which indicated annulo-aortic ectasia. An aortic valve-sparing operation was impossible because of severe prolapse of the aortic valve and the patient hesitated to have anti-coagulation therapy.Thus we performed aortic root replacement with the FreestyleTM stentless porcine valve (Medtronic Inc.). We plicated each original commissure in order to narrow the enlarg… Show more
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