Case report on successful ‘bail out’ aortic homograft implantation in a 81-year old woman with aortic ring rupture after double TAVI procedure

Reconstruction of nonconfluent pulmonary arteries during Fontan completion is a challenging technical issue. In this case report, we describe the use of an aortic homograft, including the aortic arch, to complete a Fontan and reconstruct the pulmonary artery confluence in a child with discontinuous pulmonary arteries and bilateral superior caval veins who had undergone bilateral unidirectional Glenn palliation. The configuration of the aortic homograft was ideal to ensure laminar flow from the inferior vena cava to both pulmonary arteries and in maintaining durable elastance posterior to the native aorta.

Download Full-text

A simple technique for aortic valve replacement plus mitral valve repair in a totally calcified infected aortic homograft: A case report

Journal of the Egyptian Society of Cardio-Thoracic Surgery ◽

10.1016/j.jescts.2017.07.003 ◽

2017 ◽

Vol 25 (3) ◽

pp. 249-251

Author(s):

Ahmed Attia ◽

Farouk Oueida ◽

Mustafa Alrefae ◽

Khalid Eskander

Keyword(s):

Case Report ◽

Mitral Valve ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Mitral Valve Repair ◽

Simple Technique ◽

Valve Repair ◽

Aortic Homograft

Download Full-text

Bail-out unexpanded stent implantation in acute left main dissection treated with intra coronary lithotripsy: a case report

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytz172 ◽

2019 ◽

Vol 3 (4) ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Gabriele Tumminello ◽

Chiara Cavallino ◽

Andrea Demarchi ◽

Francesco Rametta

Keyword(s):

Case Report ◽

Stent Implantation ◽

Coronary Intervention ◽

Percutaneous Treatment ◽

High Rate ◽

Percutaneous Technique ◽

Left Main ◽

Coronary Lesions ◽

Bail Out ◽

Calcified Coronary Lesions

Abstract Background The percutaneous treatment of heavily calcified coronary lesions is challenging and presents high rate of complications. Unexpandable stent is one of the most serious complication. Both of these conditions may benefit from the intracoronary lithotripsy (ICL-Shockwave®), a new coronary percutaneous technique. Case summary This case report describes a man treated with percutaneous coronary intervention (PCI) for a left main (LM) severe calcified lesion. The PCI was complicated by a huge dissection of LM in a not completely expandable lesion. A bail-out stent implantation was performed with residual unexpansion. The ICL permitted to expand acutely the stent and obtain an optimal final result. Discussion Familiarity with dedicated techniques and devices to treat calcified coronary lesions is fundamental to perform high-risk complex PCI. This case emphasizes the potential usefulness of the new ICL technique to treat calcified lesions or related complications like unexpandable stent.

Download Full-text

Asymptomatic Double Aortic Arch Accidentally Diagnosed for a Child with T-Cell Lymphoma - Case Report

ARS Medica Tomitana ◽

10.2478/arsm-2018-0028 ◽

2018 ◽

Vol 24 (3) ◽

pp. 157-160

Author(s):

Hălmaciu Ioana ◽

Suciu Bogdan Andrei ◽

Roşca Sorin ◽

Nagy Bota Monica Cristina ◽

Trâmbiţaş Cristian ◽

...

Keyword(s):

Case Report ◽

T Cell ◽

Aortic Arch ◽

Cell Lymphoma ◽

Heart Defects ◽

Aortic Ring ◽

T Cell Lymphoma ◽

Double Aortic Arch ◽

Angio Ct ◽

The Right

Abstract Introduction. Double aortic arch (DAA) represents a vascular malformation generated by the persistence of the right dorsal aorta from the intrauterine life. An aortic ring is formed, that surrounds the trachea and esophagus, resulting in difficulty in breathing and swallowing. Case report. We report the case of a 13 years old male child who was admitted to the pediatric surgery department accusing the presence of a paravertebral subcutaneous lesions. Histopathological result of the excised lesion revealed the presence of peripheral T-cell lymphoma. Examination of computer tomography angiography (Angio-CT) revealed the presence of a complete arterial chain (aortic double arch - DAA) around the trachea and esophagus, without signs of compression. Most cases are diagnosed in the first year of life, the literature reports a few cases of DAA diagnosed late, to the adolescent or adult. Clinically most of the anatomical variants are usually symptomatic especially that are associated with congenital heart defects, including also Fallot tetralogy. Conclusions. Angio-CT is a very useful method in diagnosing arterial or venous malformations, symptomatic or asymptomatic.

Download Full-text