title: Surgical treatment of a female patient with Turner's syndrome and a giant dissecting aneurysm of the ascending artery which occurred after two operations for aortic coarctation.
abstract: This paper reports a female patient with. Turner's syndrome and a giant aneurysm of the ascending aorta with pronounced aortic insufficiency in the presence of the bicuspid aortic valve, type II aortic dissection that occurred after two operations: resection of aortic coarctation with end-to-end anstomosis, recoarctation syndrome and aortic ascenoing-descending bypass grafting via the right-sided thoracotomy. The patient underwent prosthetics of the ascending aorta and aortic valve with ascending-descending repeated bypass grafting under conditions of complete peripheral cardiopulmonary bypass, hypothermia (22 degrees C) antegrade brain perfusion via the right subclavian artery.
authors.affiliation: Department of Surgery of Aorta and Its Branches, B. V. Petrovsky Russian Scientific Center of Surgery, RAMS, Moscow, Russia.
authors.forename: Yu V
authors.initials: YV
authors.lastname: Belov
authors.forename: E R
authors.initials: ER
authors.lastname: Charchian
authors.forename: A B
authors.initials: AB
authors.lastname: Stepanenko
authors.forename: M V
authors.initials: MV
authors.lastname: Kirillov
authors.forename: A A
authors.initials: AA
authors.lastname: Tekuev
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003937:Diagnosis, Differential; D004452:Echocardiography; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D011183:Postoperative Complications; D012720:Severity of Illness Index; D036542:Tomography, Spiral Computed; D014424:Turner Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*