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Perioperative Levels of Troponin and BNP and the Outcome after Coronary Artery Bypass Grafting. 冠状动脉搭桥术围手术期肌钙蛋白和脑钠肽水平与预后的关系。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-05-31 DOI: 10.1532/hsf.5471
Ayman R Abdelrehim, Faisal A Alnasser, Fareed A Alnozaha, Mohammadnizam S H Uddin, Hasan I Sandogji, Hussain R Aynusah, Asim S S Alluhaybi, Refal A Alahmadi, Hussam M Alahmadi, Wafaa M Alharbi, Ahmed M Shabaan

Background: The independent predictive values of troponin I (cTnI) and B-type natriuretic peptide (BNP) after coronary artery bypass grafting (CABG) have been reported in several studies. However, adjustment only has been limited to preoperative risk factors.

Aim: This study was conducted to assess the independent values of postoperative cTnI and BNP to predict the outcome after CABG with adjustment for preoperative risk estimates and postoperative complications and to report risk stratification gains, when considering the European System for Cardiac Operative Risk Evaluation (EuroSCORE) combined with postoperative biomarkers.

Methods: This retrospective cohort study included 282 consecutive patients undergoing CABG between January 2018 and December 2021. We evaluated the preoperative and postoperative cTnI and BNP, EuroSCORE, and postoperative complications. The composite endpoint was death or cardiac-related adverse events.

Results: The AUROC for postoperative cTnI was significantly higher than that of BNP (0.777 vs. 0.625, p = 0.041). The optimal cut-off values to predict the composite outcome were >4830 (pg/mL) and >6.95 (ng/mL) for BNP and cTnI, respectively. Adjustment for relevant and significant perioperative factors showed that postoperative BNP and cTnI had a high discriminatory power (C-index = 0.773 and 0.895, respectively) for predicting major adverse events.

Conclusions: Postoperative BNP and cTnI are independent predictors of death or major adverse events, following CABG, and can add to the predictive power of EuroSCORE II.

背景:一些研究报道了冠状动脉旁路移植术(CABG)后肌钙蛋白I (cTnI)和b型利钠肽(BNP)的独立预测价值。然而,调整仅限于术前危险因素。目的:本研究旨在评估术后cTnI和BNP的独立价值,在考虑欧洲心脏手术风险评估系统(EuroSCORE)联合术后生物标志物的情况下,在调整术前风险估计和术后并发症的情况下预测CABG后的预后,并报告风险分层收益。方法:本回顾性队列研究包括282例2018年1月至2021年12月期间连续接受CABG的患者。我们评估了术前和术后cTnI和BNP, EuroSCORE以及术后并发症。复合终点为死亡或心脏相关不良事件。结果:术后cTnI的AUROC明显高于BNP(0.777比0.625,p = 0.041)。预测复合结果的最佳临界值分别为BNP >4830 (pg/mL)和cTnI >6.95 (ng/mL)。校正围手术期相关及重要因素后发现,术后BNP和cTnI对预测主要不良事件具有较高的判别力(C-index分别为0.773和0.895)。结论:术后BNP和cTnI是冠脉搭桥后死亡或主要不良事件的独立预测因子,可增加EuroSCORE II的预测能力。
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引用次数: 0
Early and Mid-Term Outcomes of Delayed Sternum Closure Strategy in Adult Cardiac Surgery: A Single-Center Experience. 成人心脏手术延迟胸骨闭合策略的早期和中期结果:单中心经验。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-05-28 DOI: 10.1532/hsf.5461
Sameh Alagha, Ferit Çiçekçioğlu, Hasan Ekim, Ökkeş Hakan Miniksar

Background: Delayed sternum closure is a crucial strategy in the management of hemodynamic instability after weaning from cardiopulmonary bypass. This study aimed to evaluate our outcomes with this technique in light of the literature.

Methods: We retrospectively reviewed the data of all the patients who developed postcardiotomy hemodynamic compromise and intraaotic balloon pump was inserted between November 2014 to January 2022. Patients were divided into two groups: primary sternal closure group, and delayed sternum closure group. Patients' demographic data, hemodynamic parameters, and postoperative morbidities were recorded.

Results: Delayed sternum closure was performed in 16 patients with an incidence of 3.6%. The most common indication was hemodynamic instability in 14 patients (82%), followed by arrhythmia in 2 patients (12%) and diffuse bleeding in 1 patient (6%). The mean time to sternum closure was 21 (±7) hours. Three patients died (19%), p > 0.999. The median follow-up period was 25 months. Survival analysis revealed that the survival rate was 92%, p = 0.921. Deep sternal infection was observed in one patient with (6%), p > 0.999. multivariate logistic regression analysis revealed that end-diastolic diameter [odds ratio (OR) 4.5, 95% CI (1.19-17), p = 0.027], right ventricle diameter [OR 3.9, 95% CI (1.3-10.7), p = 0.012] and aortic clamp time [OR 1.16, 95% CI (1.02-1.12), p = 0.008] were independent risk factors for delayed sternum closure.

Conclusions: Elective delayed sternal closure is a safe and effective method for treating postcardiotomy hemodynamic instability. It can be performed with a low incidence of mortality and sternal infections.

背景:延迟胸骨关闭是处理体外循环脱机后血流动力学不稳定的关键策略。本研究的目的是根据文献评估我们使用该技术的结果。方法:回顾性分析2014年11月至2022年1月期间所有发生心切术后血流动力学损害并置入球囊泵的患者资料。患者分为两组:原发性胸骨闭合组和延迟性胸骨闭合组。记录患者的人口学数据、血流动力学参数和术后发病率。结果:迟发性胸骨闭锁16例,发生率3.6%。最常见的适应症是14例(82%)的血液动力学不稳定,其次是2例(12%)的心律失常和1例(6%)的弥漫性出血。平均胸骨闭合时间为21(±7)小时。死亡3例(19%),p > 0.999。中位随访期为25个月。生存分析显示生存率为92%,p = 0.921。深胸骨感染1例(6%),p > 0.999。多因素logistic回归分析显示,舒张末期内径[比值比(OR) 4.5, 95% CI (1.19-17), p = 0.027]、右心室内径[比值比(OR) 3.9, 95% CI (1.3-10.7), p = 0.012]和主动脉夹闭时间[比值比(OR) 1.16, 95% CI (1.02-1.12), p = 0.008]是延迟胸骨闭合的独立危险因素。结论:择期延迟闭锁胸骨是治疗开心术后血流动力学不稳定的一种安全有效的方法。手术死亡率和胸骨感染发生率低。
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引用次数: 0
A Study for QOL and Surgical Incision Pain in Patients Undergoing Totally Thoracoscopic Combined Aortic and Mitral Valve Replacement Surgery. 全胸腔镜主动脉二尖瓣置换术患者生活质量及手术切口疼痛的研究。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-05-28 DOI: 10.1532/hsf.5411
Zheng Xu, Hanyu Wang, Wei Wang, Xiaofu Dai

Background: In recent years, based on traditional median sternotomy surgery, totally thoracoscopic for aortic and mitral valve replacement surgery is increasingly being performed despite little published evidence. This study investigated postoperative pain and short-term quality of life (QOL) of patients undergoing double valve replacement surgery.

Methods: From November 2021 to December 2022, 141 patients with double valvular heart disease who underwent thoracoscopic group (N = 62) and median sternotomy group (N = 79) were included. Clinical data were recorded, and a visual analog scale (VAS) was used to measure postoperative pain intensity. The medical outcomes study (MOS) 36-item Short-Form Health Survey assessed short-term QOL after surgery.

Results: Sixty-two patients underwent total thoracic double valve replacement, and 79 patients underwent median sternotomy double valve replacement. Both groups were similar in terms of demographics and general clinical data, as well as the incidence of postoperative adverse events. The VAS scores of the thoracoscopic group were lower than those in the median sternotomy group. The hospital stay time was significantly shorter in the thoracoscopic group than in the median sternotomy group (30.2 ± 12 days vs. 36 ± 19 days, p = 0.03). The scores of bodily pains and some of the subscales in SF-36 were significantly different between the two groups (p < 0.05).

Conclusions: Thoracoscopic combined aortic and mitral valve replacement surgery can reduce postoperative pain and improve short-term postoperative QOL, which has specific clinical application value.

背景:近年来,在传统胸骨正中切口手术的基础上,全胸腔镜下主动脉瓣和二尖瓣置换术越来越多地被采用,尽管很少有发表的证据。本研究探讨双瓣膜置换术患者术后疼痛及短期生活质量(QOL)。方法:选取2021年11月至2022年12月行胸腔镜组(N = 62)和胸骨正中切开组(N = 79)的双瓣膜性心脏病患者141例。记录临床资料,采用视觉模拟量表(VAS)测量术后疼痛强度。医疗结果研究(MOS) 36项短期健康调查评估手术后的短期生活质量。结果:62例患者行全胸双瓣置换术,79例行胸骨正中切口双瓣置换术。两组在人口统计学和一般临床数据以及术后不良事件发生率方面相似。胸腔镜组VAS评分低于胸骨正中切开组。胸腔镜组住院时间明显短于胸骨正中切开组(30.2±12天比36±19天,p = 0.03)。两组在SF-36中躯体疼痛及部分分量表得分差异有统计学意义(p < 0.05)。结论:胸腔镜下主动脉二尖瓣联合置换术可减轻术后疼痛,提高术后短期生活质量,具有特定的临床应用价值。
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引用次数: 0
Zen and the Art of Thriving in the Clerkship Year of Medical School. 禅宗与医学生见习的艺术。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-04-30 DOI: 10.1532/hsf.5765
Curt Tribble, Nicholas Teman

You, as third year medical students, are all among the best learners on the planet. You had to be to get into this, or any other, medical school. Your academic prowess has been put to good use both prior to and in the first couple of years of med school. However, you are getting ready to start into the rest of your careers, when many, if not most, of those finely tuned academic and personal skills will not be as applicable to learning and working as clinical trainees nor, eventually, medical practitioners, as those skills have been in most of your prior educational experiences. Candidly, when I was making this same transition myself, over four decades ago, it took me a while, probably quite a while, to really come to grips with this transition. Between those days and now, I have spent quite a lot of time immersed in medical education, at every level from younger medical students to chief residents training in thoracic and cardiovascular surgery. At each level of your education and training, you will have to sort out the best educational strategies for yourself.

你们,作为医学院三年级的学生,都是这个星球上最好的学习者。你必须是这样才能进这所医学院,或者其他医学院。你的学术才能在进入医学院之前和前几年都得到了很好的利用。然而,你正准备开始你剩下的职业生涯,当许多,如果不是大多数,那些精心调整的学术和个人技能将不适用于学习和工作作为临床实习生,最终,医疗从业者,因为这些技能已经在你之前的大部分教育经历。坦率地说,四十多年前,当我自己经历同样的转变时,我花了一段时间,可能很长一段时间,才真正适应这种转变。从那时到现在,我花了相当多的时间沉浸在医学教育中,从年轻的医学生到心胸外科和心血管外科的总住院医师培训。在你的教育和培训的每一个阶段,你都必须为自己找出最好的教育策略。
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引用次数: 0
Yoga Can Help You Practice and Teach Cardiothoracic Surgery. 瑜伽可以帮助你练习和教授心胸外科。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-04-30 DOI: 10.1532/hsf.5767
Chris Pastrana, Curt Tribble

Those who practice, and teach, thoracic and cardiovascular surgery and those who are training in this realm, as well as in many other disciplines, often endure debilitating physical stress and strain as a result of their practices. [Bishop, 2023] Despite the attention paid to issues such as proper adjustments for loupe magnification, optimal footwear, attention to 'micro-breaks', and paying attention to the ergonomics of performing long and intense operations, many surgeons still suffer discomfort and debility, and, even, disability. [Dalagher, 2019, Epstein, 2018, Alleblas, 2017, Giagio, 2019, Norasi, 2021] Dealing with those challenges should include what those practitioners can do outside of the operating room to increase their comfort and resilience, as well as what can be done in the operating room. One approach to dealing with these issues is to utilize the lessons and benefits of yoga. [Tribble, 2016].

那些实践和教授胸外科和心血管外科的人,以及那些在这一领域以及许多其他学科接受培训的人,经常因为他们的实践而承受使人衰弱的身体压力和紧张。[Bishop, 2023]尽管关注诸如适当调整放大镜放大率、最佳鞋类、注意“微断裂”以及注意进行长时间高强度手术的人体工程学等问题,但许多外科医生仍然感到不适和虚弱,甚至残疾。[Dalagher, 2019, Epstein, 2018, Alleblas, 2017, Giagio, 2019, Norasi, 2021]应对这些挑战应该包括这些从业者在手术室外可以做些什么来增加他们的舒适度和弹性,以及在手术室里可以做些什么。处理这些问题的一个方法是利用瑜伽的课程和好处。(立根,2016)。
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引用次数: 0
Evaluating Short-Term Postoperative Outcomes in Minimally Invasive Mitral Valve Surgery for Patients with Rheumatic Disease. 风湿性疾病患者微创二尖瓣手术的近期疗效评价
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-04-17 DOI: 10.1532/hsf.5391
Ryohei Ushioda, Tomonori Shirasaka, Boonsap Sakboon, Jaroen Cheewinmethasiri, Dit Yoongtong, Aina Hirofuji, Hiroyuki Kamiya, Nuttapon Arayawudhikul

Minimally invasive mitral valve surgery (MIMVS) is widespread and has become a standard procedure in cardiac surgery [Chitwood 1997; Carpentier 1996]. Therefore, MIMVS is a common procedure for patients with degenerative disease [Raanani 2010; Iribarne 2010] as well. However, the safety of MIMVS in patients with rheumatic heart disease (RHD) has not thoroughly been investigated, due to the low prevalence of RHD in developed countries, where MIMVS is standardized [Miceli 2015]. Here, we investigated the safety of MIMVS for patients with RHD at Lampang Hospital in Thailand.

微创二尖瓣手术(MIMVS)广泛应用,已成为心脏外科的标准手术[Chitwood 1997;Carpentier 1996]。因此,MIMVS是退行性疾病患者的常见手术[Raanani 2010;Iribarne 2010]。然而,MIMVS在风湿性心脏病(RHD)患者中的安全性尚未得到彻底的研究,因为发达国家的RHD患病率较低,而MIMVS是标准化的[Miceli 2015]。在这里,我们在泰国南邦医院调查了MIMVS对RHD患者的安全性。
{"title":"Evaluating Short-Term Postoperative Outcomes in Minimally Invasive Mitral Valve Surgery for Patients with Rheumatic Disease.","authors":"Ryohei Ushioda,&nbsp;Tomonori Shirasaka,&nbsp;Boonsap Sakboon,&nbsp;Jaroen Cheewinmethasiri,&nbsp;Dit Yoongtong,&nbsp;Aina Hirofuji,&nbsp;Hiroyuki Kamiya,&nbsp;Nuttapon Arayawudhikul","doi":"10.1532/hsf.5391","DOIUrl":"https://doi.org/10.1532/hsf.5391","url":null,"abstract":"<p><p>Minimally invasive mitral valve surgery (MIMVS) is widespread and has become a standard procedure in cardiac surgery [Chitwood 1997; Carpentier 1996]. Therefore, MIMVS is a common procedure for patients with degenerative disease [Raanani 2010; Iribarne 2010] as well. However, the safety of MIMVS in patients with rheumatic heart disease (RHD) has not thoroughly been investigated, due to the low prevalence of RHD in developed countries, where MIMVS is standardized [Miceli 2015]. Here, we investigated the safety of MIMVS for patients with RHD at Lampang Hospital in Thailand.</p>","PeriodicalId":51056,"journal":{"name":"Heart Surgery Forum","volume":"26 2","pages":"E178-E182"},"PeriodicalIF":0.6,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9581679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Massive Pelvic Hematoma After Atrial Septal Defect Closure Via Femoral Vein Cannulation. 房间隔缺损经股静脉插管封闭后盆腔大量血肿。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-04-17 DOI: 10.1532/hsf.5417
Shangshang Wang

We report a rare case of pelvic hematoma caused by iatrogenic external iliac artery hemorrhage following transfemoral venipuncture for atrial septal defect closure. By means of urgent femoral arteriography, bleeding in the branches of the external iliac artery was confirmed and occlusion of the bleeding branches was performed, thus avoiding the need for surgical laparotomy. The patient recovered well, and the hematoma significantly was reduced 2 months after surgery.

我们报告一个罕见的病例医源性髂外动脉出血引起盆腔血肿后经股静脉穿刺房间隔缺损关闭。经紧急股动脉造影,确认髂外动脉分支出血,闭塞出血分支,避免开腹手术。术后2个月患者恢复良好,血肿明显减少。
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引用次数: 0
Implantation of a Sutureless Valve Into a Stented Prosthesis: An Open Salvage Procedure. 无缝合线瓣膜植入支架假体:开放式抢救程序。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-04-17 DOI: 10.1532/hsf.5425
Ali Alizzi, James Edwards, Mark Markou, Andrew Sanderson, Jane Ottens, Darren Polok

Background: A 78-year-old male was admitted to our institute with increasing shortness of breath and decreased exercise tolerance. His increasing symptoms were not relieved with medical management. He had a complex medical history that included aortic valve replacement (AVR). Echocardiography showed a deteriorating aortic bioprosthesis with severe aortic regurgitation.

Method: Intraoperative extraction of this prosthesis proved technically challenging and a valve in valve successfully was implanted as a salvage procedure.

Results: The procedure was successful, and the patient made a full recovery.

Conclusion: Open valve in valve implantation, despite technical difficulties, may be utilized as a salvage procedure.

背景:一名78岁男性因呼吸短促加重和运动耐受性降低而入院。他的症状日益加重,经医疗处理仍未得到缓解。他有复杂的病史,包括主动脉瓣置换术(AVR)。超声心动图显示一个恶化的主动脉生物假体和严重的主动脉反流。方法:术中提取假体技术上具有挑战性,并成功植入瓣膜作为抢救手术。结果:手术成功,患者完全康复。结论:在瓣膜置入术中,尽管存在技术上的困难,但仍可作为一种抢救方法。
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引用次数: 0
Nodal Tachycardia Induced By Neostigmine Administration During Off-Pump Coronary Artery Bypass Graft Surgery: What Makes the Difference? A Case Report. 非体外循环冠状动脉搭桥手术中新斯的明引起的结性心动过速:有何区别?一个病例报告。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-04-15 DOI: 10.1532/hsf.5141
Xuena

Controlling the heart rate (HR) to a proper level is an important part during off-pump coronary artery bypass graft (CABG) surgery, particularly in two aspects. First, the oxygen consumption during cardiac work could be decreased, which is obviously beneficial for the myocardium suffering from inadequate blood supply. Second, slow heart action makes it easy for surgeons to perform. There are some treatments for lowering HR, where neostigmine is not commonly used but usually effective, which had been discussed more than 50 years ago. However, there are adverse responses that cannot be ignored and are even dangerous, for example, severe bradyarrhythmia and overload of secretion in the trachea. Here, we report a nodal tachycardia case after neostigmine infusion.

将心率控制在合适的水平是非体外循环冠状动脉旁路移植术的重要组成部分,特别是在两个方面。首先,可以减少心脏工作时的耗氧量,这对供血不足的心肌有明显的好处。其次,缓慢的心脏运动使外科医生更容易进行手术。有一些降低心率的治疗方法,其中新斯的明不常用,但通常有效,这在50多年前就已经讨论过了。然而,也有不可忽视的不良反应,甚至是危险的,例如,严重的慢速心律失常和气管分泌过多。在此,我们报告一例新斯的明输注后的结性心动过速病例。
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引用次数: 1
Surgical Repair of Giant Asymptomatic Ascending Aortic Aneurysm Accompanied with Chronic Stanford Type A Aortic Dissection: A Case Report. 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。
IF 0.6 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2023-03-14 DOI: 10.1532/hsf.5233
Yao Wang, Rong Ren, Huapeng Li, Gang Li, Hongwei Guo

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.

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。
{"title":"Surgical Repair of Giant Asymptomatic Ascending Aortic Aneurysm Accompanied with Chronic Stanford Type A Aortic Dissection: A Case Report.","authors":"Yao Wang,&nbsp;Rong Ren,&nbsp;Huapeng Li,&nbsp;Gang Li,&nbsp;Hongwei Guo","doi":"10.1532/hsf.5233","DOIUrl":"https://doi.org/10.1532/hsf.5233","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":51056,"journal":{"name":"Heart Surgery Forum","volume":"26 2","pages":"E174-E177"},"PeriodicalIF":0.6,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9252245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Heart Surgery Forum
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