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Ventricular aneurysms are one of the many complications that may occur after a heart attack. The word aneurysm refers to a bulge or 'pocketing' of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum, or within the aorta.
Aortic valve repair may also be performed in the treatment of aortic aneurysm or aortic dissection if either aneurysm or dissection involves the aorta close to the valve. [4] Indications for aortic valve repair: Absence of relevant calcification and; Congenital and severe aortic stenosis with symptoms or decreased left ventricular function
Valve-sparing aortic root replacement (also known as the David procedure) is a cardiac surgery procedure which is used to treat Aortic aneurysms and to prevent Aortic dissection. [1] It involves replacement of the aortic root without replacement of the aortic valve .
The Dor procedure uses a circular suture and a Dacron patch to correct LV aneurysms and exclude scarred parts of the septum and ventricular wall and would prove to be the best option amongst the other methods of ventricular remodeling, i.e. Cooley’s linear suturing and Jatene’s circular external suturing.
Graft infection from a Bentall procedure presents similarly to many infections after a major cardiac surgery, with indications in various degrees of severity. Symptoms can include fever, chills, loss of appetite, weight loss, malaise with clinical indications including septic emboli, abscess, left ventricular fistulae, transient ischemic attack.
Pre-operative severe left ventricular hypertrophy is a contributing factor to morbidity. [35] The risk of dying as a result of aortic valve replacement is estimated at 1–3%. [36] [37] [38] Combining aortic valve replacement with coronary artery bypass grafting increases the risk of mortality. [36]
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