Please use this identifier to cite or link to this item: https://doi.org/10.1186/1749-8090-10-S1-A309
Title: Aortic sutureless bioprosthesis with concomitant Ferrazzi procedure, Coronary revascularization and Neo-fenestrated pericardial reconstruction: report of a case
Authors: Sazzad, Md Faizus 
Puwalani, Vidanaptthirana Chirantha
Chang, Guohao
Tan, Julian
Kofidis, Theodoros 
Issue Date: 16-Dec-2015
Publisher: BioMed Central
Citation: Sazzad, Md Faizus, Puwalani, Vidanaptthirana Chirantha, Chang, Guohao, Tan, Julian, Kofidis, Theodoros (2015-12-16). Aortic sutureless bioprosthesis with concomitant Ferrazzi procedure, Coronary revascularization and Neo-fenestrated pericardial reconstruction: report of a case. World Society of Cardiothoracic Surgeons 25th Anniversary Congress 10 (S1) : A309-A309. ScholarBank@NUS Repository. https://doi.org/10.1186/1749-8090-10-S1-A309
Abstract: OBJECTIVE: The clinical outcome of sutureless aortic bioprosthesis in concomitant complex heart surgery is still unclear. We assessed a patient with large left ventricular aneurysm underwent concomitant procedure. METHODS: We report a case of 66 years Malay gentleman, diagnosed as large LV aneurysm (7.8 x 4.9 x 8.0 cm) secondary to previous anterior MI, Moderate aortic valve stenosis, Triple vessel coronary disease; underwent LV aneurysmectomy (Ferrazzi procedure) removal of LV thrombus, Sutureless aortic valve replacement (Perceval S), Coronary revascularization and Neo-fenestrated pericardial reconstruction with intra-aortic balloon counter pulsation support. At operation the large LV aneurysm was found at anterior-inferior apical area and was self-limiting leaking at the apical area (Almost ruptured) and was in-folded and got adherent to RV wall. Cardio-pulmonary bypass time was 199 min, and Cross-clamp 146 min. RESULTS: Post operatively patient underwent resternotomy for bleeding and chest wash out on post-op day 1.Complicated with Bowel perforation and needed emergency exploratory laparotomy, Descending colon resection, with double barrel stoma creation. Post op TTE showed LVIDD came down to 50mm (Preoperative 72) with improved ejection fraction and good functioning sutureless valve. CONCLUSION: Duration of surgery in complex concomitant procedure is an influencing factor for successful outcome. Sutureless aortic bioprosthesis reduces the operative length hence its use should be prioritized in such cases.
Source Title: World Society of Cardiothoracic Surgeons 25th Anniversary Congress
URI: https://scholarbank.nus.edu.sg/handle/10635/209816
ISSN: 17498090
DOI: 10.1186/1749-8090-10-S1-A309
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