Upward Displacement of Prosthetic Aortic Valved Conduit after Modified Bentall Procedure for Type A Acute Aortic Dissection.
Br J Med Med Res
;
2015; 5(1): 129-133
Article
in English
| IMSEAR
| ID: sea-175827
ABSTRACT
Aim:
Role of non-invasive coronary artery computed tomography (CACT) in diagnosis of complications of aortic root surgery in patients with chest pain.Introduction:
Dehiscence of an aortic valved conduit or pseudoaneurysm development is a rare, but serious and potentially life-threatening complication after aortic root surgery. Case Presentation We report an interesting case of a 61-year-old man with chest pain and dyspnea, previous history of modified Bentall procedure for type A acute aortic dissection and coronary stenting, that shows a complete detachment and upward displacement of a composite tubular graft with mechanical valve prosthesis detected by a CACT angiography.Discussion:
Generally, in the few survivors, the diagnosis is made by means of echocardiography. This is the first case of CACT diagnosis of a prosthetic aortic valved conduit displacement after amodified Bentall procedure for type A acute aortic dissection. With the use of this imaging technique was possible a complete evaluation of the coronary stents and the native coronary arteries, avoiding the coronary artery angiography that adds an elevation of the risk for this kind of patients.Conclusion:
In symptomatic patients with a previous history of treated aortic dissection and coronary artery disease without evidence of recurrent ischemia, the CACT angiography can be considered a good diagnostic option. It provides detailed informations about the coronary arteries and the aorta allowing an accurate diagnosis.
Full text:
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Index:
IMSEAR (South-East Asia)
Language:
English
Journal:
Br J Med Med Res
Year:
2015
Type:
Article
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