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"NOT FOR THE FAINT OF HEART"


Tonya’s Aortic Root
Replacement Surgery

Tonya’s bicuspid aortic valve and thoracic aortic aneurysm were treated with aortic root replacement surgery.

Click here to see an actual surgery

What is an Aortic Root Replacement?

This is a very extensive open heart surgery that requires removal of the bicuspid aortic valve and the thoracic aortic aneurysm.

This is then replaced with either a conduit made of Dacron that includes a mechanical valve OR

a  bio-prosthetic aortic root (contains animal or human tissue).

Each choice has its advantages:

Tonya spent a great deal of time researching the best choice for her bicuspid aortic valve and thoracic aortic aneurysm, and one thing was clear:  There is no perfect option.

If Tonya chose a bio-prosthetic root, she would certainly require re-operation in the future that carries a mortality risk of approximately 10%.

If Tonya chose a mechanical valve conduit, she would require warfarin, which carries the risk of bleeding complications and requires monitoring.

Tonya believes that a mechanical valve conduit was the best treatment option for her, but each person must consider many factors including age, lifestyle, warfarin, etc. and discuss them with their surgeon so they can make the decision that is best for them.

Now, onto Tonya’s open heart surgery….

Tonya’s aortic aneurysm was extensive.  It involved the aortic valve,  aortic root, ascending aorta and extended up towards the aortic arch.  At the time of surgery, she was noted to have a small aortic dissection that could have been fatal if it had progressed.  Tonya’s thoracic aortic aneurysm & bicuspid aortic valve were removed and replaced with the mechanical valve conduit shown below.  This required disconnecting her coronary arteries and re-implanting them into the base of the conduit.  See Below…

Mechanical valve and conduit - valsalva
Mechanical Valve Conduit
(Carbo-Seal Valsalva)
Mechanical heart Valve
Mechanical Valve
used to replace
bicuspid aortic valve
Structure of the Aorta
thoracic aortic aneurysm removed and the mechanical valve conduit

This image shows the thoracic aortic aneurysm removed and the mechanical valve conduit ready to be secured in place.

This image shows the mechanical valve conduit in place.
Note the coronary artery that has been re-attached to the Dacron graft

mechanical valve conduit in place of the aorta

Now, onto the marathon!!!

To contact us on donations, events, questions, or interest:  Mark@TeamT.us or Tonya@TeamT.us