Surgical Management of Ascending Aortic Aneurysm and Its Com
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Introduction
The etiology of ascending aortic aneurysms is most likely multifactorial including increasing age, hypertension, tobacco use, genetics, atherosclerosis, and connective tissue disorders. Risk factor reduction is an important goal of aortic aneurysm treatment along with medical therapy or various surgical options. The main treatment options for ascending aortic aneurysms involving the ascending aorta and aortic root associated with aortic valve disease include Classic Bentalls operation, the Cabrol variation, and Button Bentalls procedure.

Case Presentation
A 63-year-old man was referred for cardiothoracic surgery after the diagnosis of severe aortic regurgitation secondary to an ascending aortic aneurysm involving the aortic root. The patient was noted to have a dilated ventricle with global hypokinesis and a left ventricular ejection fraction estimated at 45%. The patient underwent surgery with placement of a St. Jude valve conduit (Bentall operation) and recovered well after surgery with no complaints. Approximately 6 months later, he presented complaining of progressive shortness of breath. A transthoracic echocardiography was obtained which revealed a shunt between the aortic root and the right heart involving the right atrium....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4096059/
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