A CASE OF SUCCESSFUL VALVE-SAVING AORTIC ROOT PROSTHETICS USING THE FLORIDA SLEEVE METHOD IN COMBINATION WITH CORONARY ARTERY BYPASS GRAFTING

M.A. OBEYD, A.A. ABDURAKHMANOV, O.A. MASHRAPOV, I.A. ABDUHALIMOV, N.M. RAKHIMOV, A.A. PALVANOV, B.H. MIRSULTONOV

Abstract

Introduction. Reconstructive aortic root replacement was first described by Hess et al. in 2005 as a new method of aortic root replacement without the need for complete resection of the aortic root wall and reimplantation of coronary arteries. We present a rare case of a successful reconstructive intervention on the aortic root using the Florida Sleeve technique and multivessel coronary artery bypass grafting (CABG) in a patient with aortic root aneurysm in combination with multivessel atherosclerotic coronary artery disease.Description of the case. A 55-year-old man was admitted for the treatment of coronary artery disease and an aortic root aneurysm was found during examination. Computed tomography showed an aortic root aneurysm of about 5 cm in size. Taking into account the planned CABG, we decided to simultaneously replace the aortic root and ascending aorta using the Florida sleeve technique.Conclusions. Reconstructive root and ascending aortic replacement using the Florida sleeve technique may be the method of choice when the function of the aortic valve is preserved in combination with aortic root aneurysm. We are encouraged by the good result obtained, but more objective conclusions require an increase in the number of such interventions and further research.