AORTIC ROOT ENLARGEMENT
60 years old female presented with complaints of breathlessness (NYHA class III). She was evaluated in outside hospital and was found to have severe aortic stenosis. Patient came here for aortic valve replacement. Intraoperatively TEE revealed severe aortic stenosis with moderate aortic regurgitation. Aortic annulus was sized but it was very small not even admitting 17 mm valve so aortic root enlargement was done between LCC and NCC and augmented with Dacron patch and pericardium. The aortic valve was replaced with 19 mm TTK Chitra aortic valve. Immediate post procedure TEE showed a mean gradient across prosthetic aortic valve of 16 mm Hg. She remained hemodynamically stable and discharged without any major complications. The above complication and Successful surgery was performed by Dr. Srinath Vijayasekharan, Dr. Senthil Kumar and Team.