scholarly journals Subtle aortic dissection in a patient with severe aortic regurgitation and undiagnosed bicuspid aortic valve: A case report with a literature review

Author(s):  
Davorin Sef ◽  
Stewart Brown ◽  
Omar A. Jarral ◽  
Azhar Hussain ◽  
Elizabeth Haslam ◽  
...  
Author(s):  
Davorin Sef ◽  
Stewart Brown ◽  
Omar Jarral ◽  
Azhar Hussain ◽  
Elizabeth Haslam ◽  
...  

A subtle aortic dissection can be challenging to detect despite the availability of multiple diagnostic modalities. Whilst rare, the inability to detect this variant of aortic dissection can lead to a dismal prognosis. We present an extremely rare case of a subtle aortic dissection with supraannular aortic root intimal tear and acute severe aortic regurgitation in a patient with a bicuspid aortic valve. Initial concerns were either aortic dissection or infective endocarditis. Despite advanced multimodality preoperative imaging, diagnosis was made intraoperatively and a Bentall procedure with a mechanical aortic valve was performed. As current data is limited, a literature review concerning subtle aortic dissection is provided.


Choonpa Igaku ◽  
2017 ◽  
Vol 44 (1) ◽  
pp. 49-54
Author(s):  
Kenji AIDA ◽  
Minako KINOSHITA ◽  
Nobuhiro SATO ◽  
Yuko YOSHIGAI ◽  
Keiichiro YAMANE ◽  
...  

2017 ◽  
Vol 20 (2) ◽  
pp. 162-164
Author(s):  
Muhammet Bozgüney ◽  
Burak Açıkgöz ◽  
Hüseyin Ede ◽  
Yunus Keser Yılmaz ◽  
Çiğdem Ünal Kantekin

Cureus ◽  
2020 ◽  
Author(s):  
Alejandro Sanchez-Nadales ◽  
Miguel Treminio Quezada ◽  
Valentina Celis ◽  
Jessica Navarro

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Amine Ghalem ◽  
Mohammed Bachrif ◽  
Anass Hbali ◽  
Mostapha Beghi ◽  
Nabila Ismaili ◽  
...  

Aortocardiac fistulae (ACF) are exceptionally due to infective endocarditis; they are usually congenital, posttraumatic, or complicate aortic dissection. In infective endocarditis setting, their presence should prompt urgent surgery as patients can deteriorate rapidly. We report the case of a 78-year-old female patient with the first ever reported quadricuspid aortic valve infective endocarditis complicated by multiple aortocardiac fistulae. Additionally, we provide a brief review of ACF, in infective endocarditis and quadricuspid aortic valve.


1982 ◽  
Vol 49 (2) ◽  
pp. 473-477 ◽  
Author(s):  
Bruce F. Waller ◽  
Jerel M. Zoltick ◽  
Jeffrey H. Rosen ◽  
Nevin M. Katz ◽  
Mario N. Gomes ◽  
...  

2014 ◽  
Vol 41 (1) ◽  
pp. 67-69
Author(s):  
William D.T. Kent ◽  
Hadi D. Toeg ◽  
Jehangir J. Appoo

Aortic valve repair can be a good option in younger patients who have severe aortic regurgitation. A systematic, disease-directed approach can simplify repair. This case report describes how a simplified approach can be successfully applied to complex pathologic conditions of the aortic valve. A 49-year-old man with a bicuspid aortic valve and a history of endocarditis presented with severe aortic regurgitation and evidence of recurrent infection. Intraoperatively, we found congenital and degenerative aortic anatomy with endocarditis and perforation. We performed aortic valve repair to enable leaflet coaptation and to adjust the coaptation height. After 24 months, the patient remained well, with an intact repair and trivial aortic regurgitation. We describe our systematic repair approach and rationales for targeting repairs to identified lesions. To our knowledge, this is the first description of complex aortic valve repairs in a patient who had simultaneous congenital, degenerative, and infectious conditions.


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