Huge Dissected Ascending Aorta Associated with Pseudo Aneurysm and Aortic Coarctation Feridoun

  • Feridoun Sabzi Department of Cardiovascular Surgery, Imam Ali Heart Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • Donya Khosravi Mail Department of Gynecology and Obstetrics, Preventive Gynecology Research center, Imam Hussein Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran
Keywords:
Congenital Heart Disease, Coarctation, Complication, Dissection

Abstract

We report a unique case of chronic dissection of the ascending aorta complicated with huge and thrombotic pseudoaneurysm in a patient with coarctation of descending aorta. Preoperative investigations such as transesophageal echocardiography (TEE) confirmed the diagnosis of dissection. Intraoperative findings included a12 cm eccentric bulge of the right lateral side of dilated the ascending aorta filled with the clot and a circular shaped intimal tear communicating with an extended hematoma and dissection of the media layer. The rarity of the report is an association of the chronic dissection with huge pseudoaneurysm and coarctation. The patient underwent staged repair of an aneurysm and coarctation and had an uneventful postoperative recovery period.

References

Tesler UF, Tomasco B. Repair of acute dissection of the ascending aorta associated with aortic coarctation. Tex Heart Inst J 1996;23(2):170-3.

Rampoldi V, Trimarchi S, Tolva V, et al. Acute type A aortic dissection and coarctation of aortic isthmus isthmus (ĭs`məs), narrow neck of land connecting two larger land areas. Since it commands the only land route between two large areas and is on two seas, an isthmus has great= strategical and commercial importance and is a favorable situation. J Cardiovasc Surg (Torino) 2002;43(5):701-3.

HoVaguimian H, Ari GM, Floten HS. Acute type I aortic dissection with coarctation of the aorta: discussion of management and the report of a successful brain perfusion across an aortic coarctation. J Thorac Cardiovalsc Surg 1990;100(1):152-3.

Bartoccioni S, Giombolini C, Fiaschini P, et al. Aortic coarctation, aortic valvular stenosis, and coronary artery disease coronary artery disease, condition that results when the coronary arteries are narrowed or occluded, most commonly by atherosclerotic deposits of fibrous and fatty tissue. Combined one-stage surgical therapy operation. J Card Surg 1995;10(5):594-6.

Ramnarine I. Role of surgery in the management of the adult patient with coarctation of the aorta. Postgrad Med J 2005;81(954):243-7.

Yakut C. A new modified Bentall procedure: the flanged technique. Ann Thorac Surg 2001;71(6):2050-2.

Kirsch EWM, Radu NC, Allaire E, et al. Pathobiology of idiopathic ascending aortic aneurysms. Asian Cardiovasc Thorac Ann 2006;14(3):254-60.

Lilly LS, editor. Pathophysiology of Heart Disease. 2nd ed. Baltimore, Md: Lippincott Williams & Wilkins; 1997.

Lehoux S, Tedgui A. Cellular mechanics and gene expression in blood vessels. J Biomech. 2003;36(5):631-43.

10-Robicsek F, Thubrikar MJ, Cook JW, et al. The congenitally bicuspid aortic valve: how does it function? Why does it fail? Ann Thorac Surg 2004;77(1):177-85.

Keane MG, Wiegers SE, Plappert T, et al. Bicuspid aortic valves are associated with aortic dilatation out of proportion to coexistent valvular lesions. Circulation 2000;102(19 Suppl 3):III35-9.

Dore A, Brochu MC, Baril JF, et al. Progressive dilation of the diameter of the aortic root in adults with a bicuspid aortic valve. Cardiol Young 2003;13(6):526-31.

Published
2015-10-06
How to Cite
1.
Sabzi F, Khosravi D. Huge Dissected Ascending Aorta Associated with Pseudo Aneurysm and Aortic Coarctation Feridoun. Acta Med Iran. 53(7):444-447.
QRcode
Section
Case Report(s)