RESUMO
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.
Assuntos
Coartação Aórtica/cirurgia , Estenose da Valva Aórtica/cirurgia , Valva Aórtica/anormalidades , Valva Aórtica/cirurgia , Procedimentos Cirúrgicos Cardiovasculares/métodos , Insuficiência Cardíaca/etiologia , Insuficiência Cardíaca/cirurgia , Doenças das Valvas Cardíacas/complicações , Doenças das Valvas Cardíacas/cirurgia , Implante de Prótese de Valva Cardíaca/métodos , Dissecção Aórtica/diagnóstico por imagem , Dissecção Aórtica/etiologia , Dissecção Aórtica/cirurgia , Coartação Aórtica/diagnóstico por imagem , Coartação Aórtica/etiologia , Estenose da Valva Aórtica/etiologia , Doença da Válvula Aórtica Bicúspide , Angiografia por Tomografia Computadorizada , Ecocardiografia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
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.
