Severe aortic regurgitation with intimal intussusception secondary to Debakey type I aortic dissection

2020 ◽  
Vol 37 (4) ◽  
pp. 652-653
Author(s):  
Ryo Nakamura ◽  
Kentaro Honda ◽  
Mitsuru Yuzaki ◽  
Yoshiharu Nishimura
Keyword(s):  
Aortic Dissection ◽  
Aortic Regurgitation ◽  
Type I ◽  
Severe Aortic Regurgitation ◽  
Intimal Intussusception

PP-064 Acute Type a Aortic Dissection Complicated By Severe Aortic Regurgitation and Pulmonary Edema

2016 ◽  
Vol 117 ◽  
pp. S64-S65
Author(s):  
Zafer İsilak ◽  
Ugur Kucuk ◽  
Mustafa Aparci ◽  
Murat Yalcin ◽  
Mehmet Dogan ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Pulmonary Edema ◽  
Aortic Regurgitation ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Severe Aortic Regurgitation

Intimo-intimal intussusception–circumferential aortic dissection: a rare mechanism of severe acute aortic regurgitation

2014 ◽  
Vol 12 (3) ◽  
pp. 118-119
Author(s):  
Gopalan Nair Rajesh ◽  
Kalathingathodika Sajeer ◽  
Nair Anishkumar ◽  
Chakanalil Govindan Sajeev ◽  
Mangalath Narayanan Krishnan
Keyword(s):  
Aortic Dissection ◽  
Aortic Regurgitation ◽  
Intimal Intussusception

scholarly journals Reversed Elephant Trunk Technique for the Repair of Type B Aortic Dissection: A Case Report

2019 ◽  
Author(s):  
Anjith Prakash Rajakumar ◽  
Mithun Sundararaaja Ravikumar ◽  
Karthik Raman ◽  
Arun Singh ◽  
Ejaz Ahmed Sheriff ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Regurgitation ◽  
Thoracic Aorta ◽  
Left Ventricular ◽  
Type B ◽  
Descending Thoracic Aorta ◽  
Type B Aortic Dissection ◽  
Elephant Trunk ◽  
Severe Aortic Regurgitation ◽  
Elephant Trunk Technique

We report a case of a type B aortic dissection with an aneurysm treated by the replacement of the proximal descending thoracic aorta via the reversed elephant trunk technique. A 48-year-old asymptomatic man was diagnosed with a type B aortic dissection, moderate aortic regurgitation, and a good biventricular function in March 2012. Four years later (April 2016), a contrast-enhanced computed tomography examination revealed an aneurysmal dilatation in the patient’s descending thoracic aorta with a thrombosis in the proximal part of the false lumen, which warranted surgical repair. He underwent type B aortic dissection repair through the left posterolateral thoracotomy. Three months after the surgery, the patient developed a type A aortic dissection with severe aortic regurgitation, which was successfully managed via a Bentall procedure with arch replacement facilitated by the reversed elephant trunk technique performed during the initial surgery through thoracotomy. At 2 years follow-up, the patient was doing well with a normal left ventricular function.

Predictors of Proximal Aortic Dissection at the Time of Aortic Valve Replacement

Circulation ◽  
1999 ◽  
Vol 100 (suppl_2) ◽  
Author(s):  
Yskert von Kodolitsch ◽  
Ognjen Simic ◽  
Ann Schwartz ◽  
Christoph Dresler ◽  
Roger Loose ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Aortic Valve Replacement ◽  
Aortic Regurgitation ◽  
Valve Replacement ◽  
Artery Bypass ◽  
Aortic Surgery ◽  
Separate Analysis ◽  
Type I ◽  
Valve Prostheses

Background —Type I aortic dissection develops in 0.6% of patients late after aortic valve replacement (AVR), and 13% of patients with type I aortic dissections have a history of AVR. Predictors of aortic dissection at AVR, however, have not been characterized. Methods and Results —A study group of 33 patients with type I aortic dissection had aortic surgery 49±55 months after routine AVR. A group of 101 controls, who did not have morphological progression of aortic diameters ≥6 years after AVR, was used to identify predictors of postsurgical dissection. Multivariate analysis identified aortic regurgitation ( P <0.002) and fragility ( P <0.001) or thinning of the aortic wall ( P <0.007) at AVR as predictors, associated with a 14%, 22%, and 7% probability of late aortic dissection, respectively. Clamping times, types of valve prostheses, concomitant coronary artery bypass grafting, and mean ascending aortic diameters of 43±10 mm at AVR did not predict late dissection. A separate analysis of 29 nondissecting aneurysms of the ascending aorta developing 104±64 months after routine AVR revealed younger age at AVR ( P <0.003) and congenitally bicuspid aortic valves ( P <0.03) as predictors of late aneurysm formation. Conclusions —Aortic regurgitation combined with fragile and thinned aortic walls in patients with moderate aortic dilation may reflect aortic root disease, with a high risk for postsurgical aortic sequelae if it is treated incompletely by isolated valve replacement.

Abstract 13504: Timely Recognition and Successful Clinical Outcome of an Acute Debakey Type I Aortic Dissection

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Dakshin Gangadharamurthy ◽  
Muhammad M Furqan ◽  
Allan L Klein ◽  
Saurabh Malhotra ◽  
Rachel Harrison ◽  
...  
Keyword(s):  
Chest Pain ◽  
Aortic Dissection ◽  
Aortic Regurgitation ◽  
Aortic Root ◽  
Acute Aortic Dissection ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Care Facility ◽  
Type I ◽  
Malperfusion Syndrome

Background: Acute Aortic dissection is a critical etiology of chest pain with very high mortality. 1% to 2% of patients die per hour during the initial 24 to 48 hours. Case: A 62 year old lady with history of diabetes, hypertension, hyperlipidemia, hypothyroidism, smoking and no pertinent family history presented with atypical chest pain. She remained hemodynamically stable with no discrepancy of BP between arms. Labs: troponin 0.64, 0.63 ng/ml. EKG: sinus bradycardia. Chest x-ray: no mediastinal widening or signs of aortic aneurysm. Coronary angiogram showed 20-30 % stenosis in left anterior descending and right coronary arteries. An aortogram showed dilated aortic root over 6 cm with aortic regurgitation. Decision-making: An emergent echocardiogram confirmed acute aortic regurgitation and dissection. CT angiogram showed DeBakey type I aortic dissection extending from aortic annulus to infra renal aorta, supra aortic great vessels, celiac axis and left renal artery. She had no signs of malperfusion syndrome. She was started on iv Esmolol and emergently airlifted to tertiary care facility for surgical repair. Intra operative TEE showed findings consistent with acute aortic dissection. She had successful modified Bentall procedure with replacement of aortic valve, aortic root, ascending aorta and hemi arch. She had excellent recovery and continues to do well at follow up visits in our clinic. Conclusion: An early diagnosis of acute aortic dissection requires high index of suspicion due to variable symptoms and clinical manifestations. DeBakey type I aortic dissection may have better chance of survival in the absence of malperfusion syndrome if treated early as in this case.

Severe aortic regurgitation from systemic hypertension (without aortic dissection) requiring aortic valve replacement

1982 ◽  
Vol 49 (2) ◽  
pp. 473-477 ◽  
Author(s):  
Bruce F. Waller ◽  
Jerel M. Zoltick ◽  
Jeffrey H. Rosen ◽  
Nevin M. Katz ◽  
Mario N. Gomes ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Dissection ◽  
Aortic Valve Replacement ◽  
Aortic Regurgitation ◽  
Valve Replacement ◽  
Systemic Hypertension ◽  
Severe Aortic Regurgitation
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