Spontaneous retrograde dissection of the ascending aorta in a patient with a bicuspid aortic valve.
Bicuspid aortic valve (BAV) is a congenital anomaly associated with structural weakness of the aortic wall. Sudden onset of symptoms in patients with BAV, such as sudden severe back pain, and pulse inequality between the extremities or tension disparity should alert clinicians to acute aortic syndromes, as they require prompt diagnosis and management. Retrograde aortic dissection, which is a rare form of acute aortic syndrome, is an uncommon life-threatening entity and may produce atypical computed tomography (CT) or magnetic resonance imaging findings, leading to difficulty in diagnosis. We report on a 51-year-old male patient with BAV and spontaneous retrograde ascending aortic dissection. CT findings were confusing and the diagnosis was made via transoesophageal echocardiography. After the diagnosis, the patient was treated with a modified Bentall procedure. He did not have any complications and was stable four months after the operation.
Faculty of Medicine, Adnan Menderes University, Aydin, Turkey.
Cagdas
C
Akgullu
Tolga
T
Hekim
Ufuk
U
Eryilmaz
Tünay
T
Kurtoğlu
Uğur
U
Gürcün
D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001011:Aorta / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging*; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D001027:Aortography; D000082882:Bicuspid Aortic Valve Disease; D001807:Blood Vessel Prosthesis / Q000706:statistics & numerical data; D019917:Blood Vessel Prosthesis Implantation; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D006349:Heart Valve Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012306:Risk