18 year old college student , noticed recent onset of tiredness , shortness of breadth and loss of weight for the past few months. His day to day activities are becoming a burden.He presented in cardiology OPD ,where Dr.Srinivasan examined and did a Transthoracic and transesophageal Echo. He was diagnosed to have annulo-aortic- ecstasia which means his ascending aorta had enlarged to a critical level and also causing severe aortic valvular leak .Also his left side of the heart had enlarged and its function being compromised. Patient required early surgical treatment to contain the ongoing enlargement of the great artery , if left unattended , the great artery may rupture and cause instant death .

Dr.P.Babu, Senior consultant Cardio thoracic surgeon and his team of specialist including senior cardiac anesthetist Dr.D.Senthil Kumar at Vadamalayan Hospital undertook the major, complicated life saving surgery. Aortic root replacement surgery was done. The operation involves replacing the ascending aorta and aortic valve with a synthetic composite valve graft and reimplantation of the coronary arteries

The procedure was done using cardiopulmonary bypass. Adequate measures and precaution taken to preserve the circulation to all vital organs . Absolute hemostasis obtained to control blood loss.Patient recovered well and discharged 7 days after surgery.