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Valve-sparing aortic root replacement in a patient with a rare connective tissue disorder: Arterial tortuosity syndrome  Tomaso Bottio, MD, PhD, Gianluigi.

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Presentation on theme: "Valve-sparing aortic root replacement in a patient with a rare connective tissue disorder: Arterial tortuosity syndrome  Tomaso Bottio, MD, PhD, Gianluigi."— Presentation transcript:

1 Valve-sparing aortic root replacement in a patient with a rare connective tissue disorder: Arterial tortuosity syndrome  Tomaso Bottio, MD, PhD, Gianluigi Bisleri, MD, Paolo Piccoli, MD, Claudio Muneretto, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 133, Issue 1, Pages e2 (January 2007) DOI: /j.jtcvs Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 a, Two-dimensional echocardiogram. Note the aortic sinus dilation. b, Coronary angiogram shows an extreme tortuosity of the left anterior descending. The coronary artery origin and course were normal. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

3 Figure E1 a and b, Coronal computed tomographic scan shows an extreme tortuosity of the main pulmonary vessels (C) and left carotid artery (E). D, Left ventricle. c and d, Axial computed tomographic scan shows dilation of the aortic sinus tract (A) and aneurysm of the right pulmonary artery (C). Sagittal view shows narrowing of the descending aorta (B). The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

4 Figure E2 Elastic lamellae are fewer and still tend to be parallel but divide transversely into much more numerous, short, stick-like structures showing small club-like expansions. Note that as a result of the fragmentation, compactness is lost, and the elastic configuration becomes more open and loose. (Weigert van-Gieson stain, original magnification 25×.) The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

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