title: Dissection of Ascending Aorta After Aortic Valve Replacement and Reduction Aortoplasty.
abstract: A case of Debakey type-II (Stanford type-A) dissecting aortic aneurysm, after aortic valve replacement and reduction aortoplasty, is reported. The patient was 35 years male who was diagnosed of severe aortic regurgitation along with aortic root dilatation of 7 cm. He underwent aortic valve replacement with 27-ASt Jude's mechanical aortic valve along with reduction aortoplasty. Nine months later, he was admitted to our hospital with complaint of severe sudden anterior chest pain. Computed tomography with aortic enhancement showed dilatation and dissection of ascending aorta. Successful operation of aortic root replacement with composite graft was performed and patient was discharged without any postoperative complication. The aortic diameter at the time of aortic valve replacement is an independent risk factor for the late aortic dissection.
authors.affiliation: Department of Cardiac Surgery, (DUHS), Civil Hospital, Karachi.
authors.forename: Maria
authors.initials: M
authors.lastname: Hashmi
authors.affiliation: Department of Cardiac Surgery, (DUHS), Civil Hospital, Karachi.
authors.forename: Mudasser Iqbal
authors.initials: MI
authors.lastname: Dar
authors.affiliation: Department of Cardiac Surgery, (DUHS), Civil Hospital, Karachi.
authors.forename: Asad Ullah
authors.initials: AU
authors.lastname: Khan
authors.affiliation: Department of Cardiac Surgery, (DUHS), Civil Hospital, Karachi.
authors.forename: Farhan
authors.initials: F
authors.lastname: Khan
authors.affiliation: Department of Cardiac Surgery, (DUHS), Civil Hospital, Karachi.
authors.forename: Abdul Bari
authors.initials: AB
authors.lastname: Khan
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D001011:Aorta / Q000473:pathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency; D004108:Dilatation, Pathologic; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*