The Turkish Journal of Vascular Surgery

Yazarlar: Gündüz YÜMÜN, Yusuf ATA, Tamer TÜRK, Cüneyt ERİŞ, Burak ERDOLU, Ahmet Kağan AS, Şenol YAVUZ

Konular:-

Anahtar Kelimeler:Aortic dissection; reoperation; aortic stenosis

Özet: Aneurysm formation or aortic dissection can occur at the anastomosis site if primary aortic pathology cannot be fixed properly. Here we report a case of aortic dissection diagnosed early after ascending aorta replacement. A 50 year old male patient who had undergone ascending aorta replacement for Debakey type 1 aortic dissection 5 months ago admitted to our outpatient clinic with symptoms of heart failure and syncope. On transthoracic echocardiography, severe aortic valve insufficiency, a flap appearance in the ascending aorta and functional aortic stenosis were seen. The patient was re-operated, and the aortic valve, the ascending aorta and the aortic arch were re- placed. As a result of aortic dissection, aortic valve insufficiency and acute coronary syndrome may be expected. In addition to aortic insufficiency, functional aortic stenosis was also developed in this case.

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