title: Acute supravalvular aortic stenosis following the replacement of the ascending aorta.
abstract: We report a very rare case of ascending aortic replacement complicated by acute supravalvular aortic stenosis. A 53-year-old man was referred to our Institution for evaluation of a systolic murmur and congestive heart failure. He had undergone elective ascending aortic replacement one month previously due to acute type A aortic dissection. On admission, transesophageal echocardiography revealed a proximal leak with a pseudoaneurysm compressing the aortic graft and generating a systolic gradient of 84 mmHg. The patient underwent reoperation, the graft was removed and a new Dacron graft was put in place.
authors.affiliation: Department of Cardiology, Clínica Bazterrica, Echocardiography Laboratory, Juncal 3002, Capital Federal (C1425DCB), Buenos Aires, Argentina. tcianciulli@fibertel.com.ar
authors.forename: Tomás Francisco
authors.initials: TF
authors.lastname: Cianciulli
authors.forename: Enrique B
authors.initials: EB
authors.lastname: Fairman
authors.forename: María Cristina
authors.initials: MC
authors.lastname: Saccheri
authors.forename: Sergio D
authors.initials: SD
authors.lastname: Llanos Dethinne
authors.forename: Horacio Alberto
authors.initials: HA
authors.lastname: Prezioso
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta / Q000473:pathology* / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging* / Q000209:etiology; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography