# Sub-coronary aortic root replacement post-aortic valve dehiscence: a case report

## TL;DR

A 78-year-old man with a rare heart condition successfully underwent a specialized aortic root replacement surgery.

## Contribution

The paper highlights the successful use of sub-coronary aortic root replacement in patients with complex coronary anatomy.

## Key findings

- The patient had complex anomalous coronary anatomy and a history of aortic valve replacement.
- Sub-coronary root replacement was successfully used to treat aortic valve dehiscence and pseudoaneurysm.
- The patient recovered well and was discharged five days post-surgery.

## Abstract

This is a case report of a 78-year-old male who underwent a sub-coronary aortic valve and root replacement due to valve dehiscence and aortic root pseudoaneurysm. The patient had complex anomalous coronary anatomy and had undergone a previous tissue aortic valve replacement in 2013. The patient made an uneventful recovery and was discharged from the hospital five days later. The authors suggest that the sub-coronary root replacement technique should be considered in elderly patients and patients with complex coronary anatomy.