CASE REPORT article
Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1600757
This article is part of the Research TopicExploring New Frontiers in Heart Surgery: Case Studies 2025View all 12 articles
The one-stage surgical management for advanced dilated cardiomyopathy combined with aortic sinus aneurysm: a case report
Provisionally accepted
- Department of Cardiovascular Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China
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Introduction ： Left ventricular assist device (LVAD) implantation is a highly effective procedure for the management of selected advanced heart failure patients, prolonging patient life and improving quality. Additional cardiac pathologies, especially valvular regurgitation or coronary heart disease, are common in LVAD recipients, whereas reports on the surgical management of heart failure combined with aortic disease are rare.Case presentation: Here, we present the case of a 60-year-old patient suffering from aortic sinus aneurysm, aortic regurgitation and end-stage heart failure. The LVAD implantation was performed concomitantly with the Bentall procedure and Cabrol Shunt technique. The patient was discharged uneventfully on postoperative day 26. The LVAD implantation combined with additional cardiovascular procedure could be an alternative strategy for patients with complex heart failure conditions.LVAD implantation combined with additional aortic surgery can be a feasible alternative with acceptable risk, especially for patients who have elected to pursue LVAD as destination therapy. It is necessary to ensure adequate preoperative evaluation, experienced cardiac surgeons and close postoperative care.
Keywords: Left ventricular assist device implantation, aortic surgery, End-stage dilated cardiomyopathy, aortic sinus aneurysm, case report
Received: 26 Mar 2025; Accepted: 24 Jul 2025.
Copyright: © 2025 Xu, Wang, Zou, Wang, Tan and Fan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Songtao Tan, Department of Cardiovascular Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510000, China
Xiaoping Fan, Department of Cardiovascular Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, 510000, China
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