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Valve Sparing Aortic Root Replacement in Children with Loeys-Dietz Syndrome

  • Sim, Hyung-Tae (Department of Thoracic and Cardiovascular Surgery, Saint Carollo General Hospital) ;
  • Seo, Dong Ju (Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yu, Jeong Jin (Division of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Baek, Jae Suk (Division of Pediatric Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Goo, Hyn Woo (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Jeong-Jun (Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2014.08.27
  • Accepted : 2014.10.27
  • Published : 2015.08.05

Abstract

Loeys-Dietz syndrome (LDS) is an autosomal dominant connective tissue disorder that is characterized by aggressive arterial and aortic disease, often involving the formation of aortic aneurysms. We describe the cases of two children with LDS who were diagnosed with aortic root aneurysms and successfully treated by valve-sparing aortic root replacement (VSRR) with a Valsalva graft. VSRR is a safe and suitable operation for children that avoids prosthetic valve replacement.

Keywords

References

  1. Pettersen MD, Du W, Skeens ME, Humes RA. Regression equations for calculation of z scores of cardiac structures in a large cohort of healthy infants, children, and adolescents: an echocardiographic study. J Am Soc Echocardiogr 2008;21:922-34. https://doi.org/10.1016/j.echo.2008.02.006
  2. Loeys BL, Chen J, Neptune ER, et al. A syndrome of altered cardiovascular, craniofacial, neurocognitive and skeletal development caused by mutations in TGFBR1 or TGFBR2. Nat Genet 2005;37:275-81. https://doi.org/10.1038/ng1511
  3. Loeys BL, Schwarze U, Holm T, et al. Aneurysm syndromes caused by mutations in the TGF-beta receptor. N Engl J Med 2006;355:788-98. https://doi.org/10.1056/NEJMoa055695
  4. Williams JA, Loeys BL, Nwakanma LU, Dietz HC, Spevak PJ, Patel ND, et al. Early surgical experience with Loeys-Dietz: a new syndrome of aggressive thoracic aortic aneurysm disease. Ann Thorac Surg 2007;83:S757-63. https://doi.org/10.1016/j.athoracsur.2006.10.091
  5. Leyh RG, Schmidtke C, Sievers HH, Yacoub MH. Opening and closing characteristics of the aortic valve after different types of valve-preserving surgery. Circulation 1999;100:2153-60. https://doi.org/10.1161/01.CIR.100.21.2153
  6. De Oliveira NC, David TE, Ivanov J, et al. Results of surgery for aortic root aneurysm in patients with Marfan syndrome. J Thorac Cardiovasc Surg 2003;125:789-96. https://doi.org/10.1067/mtc.2003.57
  7. Patel ND, Arnaoutakis GJ, George TJ, et al. Valve-sparing aortic root replacement in Loeys-Dietz syndrome. Ann Thorac Surg 2011;92:556-60. https://doi.org/10.1016/j.athoracsur.2011.04.003
  8. Kim HW, Lee TY, Moon DH, Choo SJ, Chung CH, Lee JW. Ascending aortic rupture in a young woman with Loeys-Dietz syndrome: the first case report in Korea. Korean J Thorac Cardiovasc Surg 2009;42:639-44.
  9. Suh YJ, Kwon HW, Kim GB, et al. A case of near total aortic replacement in an adolescent with loeys-dietz syndrome. Korean Circ J 2012;42:288-91. https://doi.org/10.4070/kcj.2012.42.4.288

Cited by

  1. Surgery on a dilated aorta associated with a connective tissue disease or inflammatory vasculitis in children and adolescents vol.29, pp.5, 2015, https://doi.org/10.1017/s1047951118002299