Surgical Repair of Giant Asymptomatic Ascending Aortic Aneurysm Accompanied with Chronic Stanford Type A Aortic Dissection: A Case Report.

IF 0.7 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Surgery Forum Pub Date : 2023-03-14 DOI:10.1532/hsf.5233
Yao Wang, Rong Ren, Huapeng Li, Gang Li, Hongwei Guo
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Abstract

Background: Ascending aortic aneurysm accompanied with stanford type A aortic dissection is a life-threatening condition. The most common presenting symptom is pain. Here, we report a very rare case of giant asymptomatic ascending aortic aneurysm accompanied with chronic stanford type A aortic dissection.

Case presentation: A 72-year-old woman was founded to have ascending aortic dilation on a routine physical examination. On admission, CTA showed an ascending aortic aneurysm accompanied with stanford type A aortic dissection, the diameter of which was approximately 10 cm. Transthoracic echocardiography showed an ascending aortic aneurysm, aortic sinus and sinus junction dilation, moderate aortic valve regurgitation, left ventricle enlargement, left ventricular wall hypertrophy, and mitral and tricuspid valve mild regurgitation. The patient underwent surgical repair in our department, was discharged, and recovered well.

Conclusion: This was a very rare case of a giant asymptomatic ascending aortic aneurysm accompanied with chronic stanford type A aortic dissection that was successfully managed by total aortic arch replacement.

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巨大无症状升主动脉瘤伴慢性Stanford A型主动脉夹层的外科修复一例。
背景:升主动脉瘤合并stanford A型主动脉夹层是一种危及生命的疾病。最常见的症状是疼痛。在此,我们报告一例非常罕见的巨大无症状升主动脉瘤合并慢性斯坦福a型主动脉夹层。病例介绍:一名72岁女性在常规体检中发现升主动脉扩张。入院时,CTA显示升主动脉瘤伴stanford A型主动脉夹层,直径约10cm。经胸超声心动图示升主动脉瘤,主动脉窦及窦交界处扩张,主动脉瓣中度反流,左心室增大,左心室壁肥厚,二尖瓣、三尖瓣轻度反流。患者在我科行手术修复,出院,恢复良好。结论:这是一例非常罕见的巨大无症状升主动脉瘤合并慢性stanford a型主动脉夹层的病例,经全主动脉弓置换术成功治疗。
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来源期刊
Heart Surgery Forum
Heart Surgery Forum 医学-外科
CiteScore
1.20
自引率
16.70%
发文量
130
审稿时长
6-12 weeks
期刊介绍: The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.
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