title: Acute type A aortic dissection in a patient with ventricular septal defect.
abstract: We report the case of a 38-year-old man with a long-standing history of a small ventricular septal defect presented with chest pain. Electrocardiography revealed sinus rhythm, ST-segment elevation in leads V1-6. The chest X-ray showed mild cardiomegaly. He underwent cardiac catheterisation laboratory to primary coronary angioplasty. Coronary angiography showed normal coronary arteries. Aortic root angiography revealed type A aortic dissection. Transthoracic and transesophageal echocardiography showed aortic dissection in ascending aorta and a perimembranous ventricular septal defect. Thoracoabdominal CT angiography confirmed the aortic dissection before the surgery. The patient underwent cardiac surgery immediately. The ventricular septal defect and aortic dissection were repaired successfully. The postoperative recovery was uneventful and he has thus far remained asymptomatic at 6 months' follow-up.
authors.affiliation: Department of Cardiology, Erciyes University School of Medicine, Kayseri, Turkey. drmgkaya@yahoo.com <drmgkaya@yahoo.com>
authors.forename: Mehmet Gungor
authors.initials: MG
authors.lastname: Kaya
authors.forename: Ertugrul
authors.initials: E
authors.lastname: Mavili
authors.forename: Orhan
authors.initials: O
authors.lastname: Dogdu
authors.forename: Ali
authors.initials: A
authors.lastname: Dogan
authors.forename: Tugrul
authors.initials: T
authors.lastname: Inanc
authors.forename: Ali
authors.initials: A
authors.lastname: Baykan
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000792:Angiography / Q000379:methods; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome