Aortic valve replacement in the presence of Hufnagel valve in the descending aorta. One stage valve replacement and resection of the Hufnagel valve: Report of a case

Replacement of the aortic valve in the presence of a Hufnagel prosthesis in the descending aorta results in equilibration of diastolic pressure above and below the distal prosthesis with subsequent thrombosis of the latter. This case report illustrates the technical feasibility of a one stage aortic valve replacement, removed of the Hufnagel valve from the descending aorta, and resection of a false aneurysm. This is the first report of this type of combined procedure.