Acute supravalvular aortic stenosis following the replacement of the ascending aorta.
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.
Cianciulli
Tomás Francisco
TF
Department of Cardiology, Clínica Bazterrica, Echocardiography Laboratory, Juncal 3002, Capital Federal (C1425DCB), Buenos Aires, Argentina. tcianciulli@fibertel.com.ar
Fairman
Enrique B
EB
Saccheri
María Cristina
MC
Llanos Dethinne
Sergio D
SD
Prezioso
Horacio Alberto
HA
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