ABSTRACT
Surgical repair of the tetralogy of Fallot is one of the most successful operations in the treatment of congenital heart diseases. We report the case of a 65-year-old man who had an aortic valve replacement at the time of complete repair of the tetralogy of Fallot at the age of forty-three. He subsequently had progressive aortic root and ascending aorta dilation to 9 cm. The aortic root and ascending aorta replacement was done using a composite valve-graft and was performed along with other procedures. Thus, meticulous follow-up of aortic root and ascending aorta after corrective surgery for tetralogy of Fallot is recommended following initial curative surgery.
Subject(s)
Adult , Aged , Humans , Aneurysm , Aorta , Aortic Aneurysm , Aortic Valve , Follow-Up Studies , Heart Diseases , Tetralogy of FallotABSTRACT
Surgical repair of the tetralogy of Fallot is one of the most successful operations in the treatment of congenital heart diseases. We report the case of a 65-year-old man who had an aortic valve replacement at the time of complete repair of the tetralogy of Fallot at the age of forty-three. He subsequently had progressive aortic root and ascending aorta dilation to 9 cm. The aortic root and ascending aorta replacement was done using a composite valve-graft and was performed along with other procedures. Thus, meticulous follow-up of aortic root and ascending aorta after corrective surgery for tetralogy of Fallot is recommended following initial curative surgery.
Subject(s)
Adult , Aged , Humans , Aneurysm , Aorta , Aortic Aneurysm , Aortic Valve , Follow-Up Studies , Heart Diseases , Tetralogy of FallotABSTRACT
Endovascular stent grafting is regarded as a promising alternative approach to open surgical repair for treating various aortic diseases in high risk patients. We report here on a case of a 79-year-old female who underwent endovascular stent-graft insertion in the ascending aorta for treating a complicated ascending aortic rupture that occurred secondary to radiation necrosis during the treatment of recurrent breast cancer.
Subject(s)
Aged , Female , Humans , Aorta , Aortic Diseases , Aortic Rupture , Breast Neoplasms , Necrosis , Stents , TransplantsABSTRACT
Aorto-cutaneous fistula is a rare complication after performing open heart surgery, but if this develops, it is a fatal condition. So, prompt diagnosis and aggressive surgical treatment is needed. We report here on a patient who had two mechanical double valves placed during heart surgery and she was treated for repeated sternal wound infections for about 5 years. She visited the ER due to abrupt bleeding at the sternal wound. She was diagnosed as having an aorto-cutaneous fistula by performing an aortogram and we then performed cardio-pulmonary bypass surgery. The patient is currently doing well and is under follow up 24 months after the repair.
Subject(s)
Humans , Aorta , Fistula , Follow-Up Studies , Heart , Hemorrhage , Mediastinitis , Sternotomy , Thoracic Surgery , Wound InfectionABSTRACT
Nuss operation as a method for correction of pectus excavatum is safe and satisfactory, but its complication presents pneumothorax, displaced bar, wound infection, pericarditis, pleural effusion, hemothorax, cardiac injury etc. We report a rare case of acute ascending aortic rupture after displaced and adhered Nuss bar removal. The patient was a 30-years old man who received Nuss operation 3 years ago. Nuss bar was removed without resistance but massively bled at both operation wound, so immediately femoro-femoral CPB and median sternotomy was done and repaired proximal aortic arch under deep hypothermic total circulatory arrest. The patient was discharged without complication at postoperative 13 day.
Subject(s)
Adult , Humans , Aorta , Aorta, Thoracic , Aortic Rupture , Funnel Chest , Hemothorax , Pericarditis , Pleural Effusion , Pneumothorax , Sternotomy , Thoracic Wall , Wound Infection , Wounds and InjuriesABSTRACT
BACKGROUND: Stanford type A aortic dissection is a sur gical disease which has its intimal tear point somewhere in the aorta. The start ing intimal tear point of the type A aortic dissection has not been a common iss ue in the therapy of the aortic dissection. So we analysed our surgical cases of the type A acute aortic dissection subdivided by the location of intimal tear point. MATERIAL AND METHOD: Between M arch 1991 and July 1999, 40 patients with type A acute aortic dissection underwe nt surgical repair. In 27 patients intimal tear was found within the ascending a orta and aortic arch(Group I), but in 13 patients not found(Group II). All clini cal factors were compared between two groups and analized retrospectively. RESULT: The Group I had more s erious preoperative conditions such as shock, aortic regurgetation, cardiac isch emia and renal failure than the Group II. Group I had more aortic valve abnormal ies. Group II had more hematoma in the false lumen but it had no statistical sig nificance. Group II had more frequent postoperative renal dysfunction than Group I, but Group I had more reoperations from bleeding. The surgical mortality rate was 22.2 % in Group I and 0 % in Group II. CONCLUSION: The patients with ascending aortic intimal tear point had poor preoperative conditions and more ao rtic valve abnormalities, which resulted in the poor postoperative prognosis. Be sides the patients without ascending aortic intimal tear point developed intraop erative malperfusion of distal organ more frequently. Conclusively the prognosis of the patient without intimal tear in ascending aorta was better than that of the patient with intimal tear in ascending aorta.