Annular stabilization in remodelling technique.

Abstract

Case 1 is a 52-year-old patient with New York Heart Association (NYHA) III dyspnea. Echocardiography demonstrated a tricuspid aortic valve with grade 4 aortic insufficiency (AI), preserved ejection fraction (50%) and a dilated left ventricle with end-diastolic and end-systolic diameters of 63 and 42 mm, respectively. Gated computed tomography (CT) revealed sinuses of Valsalva measuring 57 mm and ascending aorta 44 mm in diameter. Case 2 is a 69-year-old patient with NYHA III dyspnea. Echocardiography demonstrated a bicuspid aortic valve with grade 4 AI, preserved ejection fraction (54%) and a dilated left ventricle with end-diastolic and end-systolic diameters of 59 and 45 mm, respectively. Gated CT revealed sinuses of Valsalva measuring 52 mm and ascending aorta 47 mm in diameter.