Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 1998 December;39(6) > The Journal of Cardiovascular Surgery 1998 December;39(6):817-9

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632


eTOC

 

CASE REPORTS  CARDIAC PAPERS


The Journal of Cardiovascular Surgery 1998 December;39(6):817-9

lingua: Inglese

Aorto-atri­al fis­tu­la asso­ciat­ed ­with recur­rent aor­tic dis­sec­tion ­after ascend­ing aor­ta replace­ment

Fujii H., Oka T., Kawaguchi H., Kido M., Ninomiya H., Osako M., Otani H., Imamura H.

From the Department of Thoracic and Cardiovascular Surgery Kansai Medical University, Moriguchi, Osaka, Japan


PDF  


A 70-­year-old wom­an ­with a bicus­pid aor­tic ­valve had under­gone ascend­ing aor­ta replace­ment for ­acute DeBakey ­type I dis­sec­tion. Computed tomog­ra­phy and aor­tog­ra­phy 2 ­months ­after the oper­a­tion ­revealed a throm­bosed ­false ­lumen in the ascend­ing aor­ta prox­i­mal to the pros­thet­ic ­graft. However, recur­rence of dis­sec­tion was ­found at the aor­tic ­root prox­i­mal to the ­graft 4 ­years ­after the ­initial oper­a­tion. Significant aor­tic sten­o­sis was ­also not­ed. Despite inten­sive med­i­cal treat­ment, she had refrac­to­ry and pro­gres­sive ­heart fail­ure. At the sec­ond sur­gery, an aor­to-­right atri­al fis­tu­la, ­which prob­ably was respon­sible for the ­severe ­heart fail­ure was ­revealed. Closure of the aor­to-­right atri­al fis­tu­la, and aor­tic ­root replace­ment ­were per­formed ­using Piehler’s meth­od, ­with a com­pos­ite ­graft. The eti­ol­o­gy and man­age­ment of ­this ­rare ­case are dis­cussed.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail