Conservative treatment of unicuspid aortic valve with newly diagnosed type a aortic dissection
Graup, Vera; Meier, Lukas; Maisano, Francesco; Ouda, Ahmed.
Rev. bras. cir. cardiovasc
; 35(6): 1007-1009, Nov.-Dec. 2020. tab, graf
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| LILACS, SES-SP | ID: biblio-1143993
Abstract We present a case of a 36-year-old male patient with known arthrogryposis multiplex congenita and an associated unicuspid aortic valve. The patient later developed a significant aneurysm of the ascending aorta, however refused surgical intervention and missed follow-up appointments for 5 years. During an urgent, general practitioner-initiated transthoracic echocardiography follow-up, a chronic type A aortic dissection was diagnosed as a result of progressive aortic dilatation. Due to the stationary pressure gradients and non-progressive leaflet fibrosis, a conservative approach for to the unicuspid aortic valve was chosen, combined with replacement of the ascending aorta and partial replacement of the aortic arch.
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