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Aortic Video Series: Day Five
Aortic stenosis with aneurysm

 

Managing Aortic Stenosis with an Ascending Aortic Aneurysm: What You Need to Know

Did you know that aortic stenosis combined with an ascending aortic aneurysm requires a unique surgical approach? Learn how advanced procedures can address both conditions in one operation.

Meet James, a 52-year-old diagnosed with severe aortic stenosis and an enlarged ascending aorta. His condition required not just an aortic valve replacement but also an aortic root replacement to prevent future complications. After consulting with his heart team, James opted for a xenograft root replacement โ€“ combining a tissue valve with a pigโ€™s aorta. Today, James is back to hiking and living life to the fullest, thanks to this innovative solution.

When aortic stenosis is accompanied by an ascending aortic aneurysm, addressing both issues simultaneously is crucial. Options include:

  • Mechanical Valve with Tube Conduit: Ideal for younger patients, offering durability but requiring lifelong blood thinners.
  • Xenograft Root Replacement: A tissue valve combined with a pigโ€™s aorta, providing excellent durability (over 90% at 20 years).
  • Homograft Root Replacement: A human donor option, though availability and quality can vary.

Each approach is tailored to your age, health, and lifestyle needs. For patients with bicuspid valves or significant enlargement of the ascending aorta, early intervention is key to avoiding future surgeries or complications.

Curious about which option might be right for you? Stay tuned for tomorrowโ€™s video where weโ€™ll explore minimally invasive techniques for managing complex heart conditions. Your heart deserves the best care โ€“ letโ€™s find the right solution together!

PS: Questions about aortic valve options? We’re here to help. Contact us for personalised support on your heart health journey.

Mr. Birdi
Cardiothoracic Surgeon
BMed Sci (Hon) BM BS FRCS (CTh) MCh