ABSTRACT
Bicuspid aortic valve (BAV) is the most common form of congenital heart disease and frequently leads to premature valvular dysfunction. BAV is associated with aortic wall abnormalities and a high prevalence of ascending aorta dilatation and coarctation of the aorta (CoA). Consequently, in patients with BAV a careful assessment of the valve, and also of the aortic root and the ascending aorta, should be performed. The most feared complication is aortic dissection, however, the actual incidence of this complication is low. We report the case of a 58-year-old man who presented with New York Heart Association class III heart failure. The work-up revealed BAV with severe stenosis and severe compromise of left ventricle systolic function. In addition, CoA in the isthmus region, and type B dissection of the aorta were diagnosed.
Subject(s)
Aortic Coarctation/surgery , Aortic Valve Stenosis/surgery , Aortic Valve/abnormalities , Aortic Valve/surgery , Cardiovascular Surgical Procedures/methods , Heart Failure/etiology , Heart Failure/surgery , Heart Valve Diseases/complications , Heart Valve Diseases/surgery , Heart Valve Prosthesis Implantation/methods , Aortic Dissection/diagnostic imaging , Aortic Dissection/etiology , Aortic Dissection/surgery , Aortic Coarctation/diagnostic imaging , Aortic Coarctation/etiology , Aortic Valve Stenosis/etiology , Bicuspid Aortic Valve Disease , Computed Tomography Angiography , Echocardiography , Humans , Male , Middle AgedABSTRACT
Celiac artery aneurysms are extremely rare vascular lesions that are frequently asymptomatic. When present, clinical manifestations are often vague and unspecific. The most serious complication of celiac artery aneurysms is rupture with a mortality rate up to 100%. Elective surgical repair, with a mortality rate of 5%, is recommended except when operative risks contraindicate abdominal surgery. The authors present three clinical cases of celiac artery aneurysms treated by open surgery and discuss the surgical options adopted.
