scholarly journals Acute Type A Dissection, Coarctation of Aorta and Levoatriocardinal Vein -- A Rare Combination

2021 ◽  
Author(s):  
Kartik Patel ◽  
Archit Patel ◽  
Chandrasekaran Ananthanarayanan
Keyword(s):  
Aortic Regurgitation ◽  
Acute Chest Pain ◽  
Type A ◽  
Coarctation Of Aorta ◽  
Acute Type ◽  
Severe Aortic Regurgitation ◽  
Acute Type A Dissection ◽  
Valve Conduit ◽  
Type A Dissection ◽  
Normal Mitral Valve

Concomitant presence of acute type A dissection and coactation of aorta is rare (1). Levoatriocardinal vein has shown to be associated with left sided hypoplastic lesions as well as with normal hearts (2, 3 ). However, concurrent presence of levoatriocardinal vein with acute type A dissection, severe aortic regurgitation and Coarctation of aortic isthmus was not described. We here described a case of 20 year male presented to emergency department with acute chest pain radiating to back. On evaluation, he was found to have acute type A dissection with dilated aortic root, severe aortic regurgitation, normal mitral valve, severe coarctation of aorta and levoatriocardinal vein. Patient was managed successfully with composite valve conduit replacement of ascending aorta with ascending aortic to descending aortic graft (16mm graft) with levoatriocardinal vein ligation.

scholarly journals Aortic Regurgitation in Acute Type A Dissection

2018 ◽  
Vol 32 (2) ◽  
pp. e50-e51
Author(s):  
Victoria Contreras ◽  
Roy Sheinbaum ◽  
Stephanie Tran ◽  
John Zaki ◽  
Ovidiu Moise
Keyword(s):  
Aortic Regurgitation ◽  
Type A ◽  
Acute Type ◽  
Acute Type A Dissection ◽  
Type A Dissection

Preservation of the aortic valve in acute type A dissection complicated by aortic regurgitation

1999 ◽  
Vol 67 (6) ◽  
pp. 2010-2013 ◽  
Author(s):  
Renzo Pessotto ◽  
Francesco Santini ◽  
Peppino Pugliese ◽  
Giuseppe Montalbano ◽  
Giovanni Battista Luciani ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Type A ◽  
Acute Type ◽  
Acute Type A Dissection ◽  
Type A Dissection

Reoperations after repaired acute type A dissection

2010 ◽  
Vol 58 (S 01) ◽  
Author(s):  
R Kobuch ◽  
S Hirt ◽  
L Rupprecht ◽  
M Hilker ◽  
C Schmid
Keyword(s):  
Type A ◽  
Acute Type ◽  
Acute Type A Dissection ◽  
Type A Dissection

scholarly journals Complex Reoperation for Late Complications After Acute Type A Aortic Dissection Surgery

Aorta ◽  
2015 ◽  
Vol 03 (06) ◽  
pp. 195-198
Author(s):  
Guillermo Stöger ◽  
Matías Ríos ◽  
Roberto Battellini ◽  
Daniel Bracco ◽  
Vadim Kotowicz
Keyword(s):  
Aortic Root ◽  
Past History ◽  
Type A ◽  
Late Complications ◽  
Type I ◽  
Acute Type ◽  
Acute Type A Dissection ◽  
Type I Endoleak ◽  
Type A Dissection ◽  
Branched Graft

AbstractThe correct management of acute Type A dissection continues to be a challenge. The primary goal is to save the patient´s life. However, the decision regarding the surgical approach determines possible later complications. We present the case of a 59-year-old female patient with a past history of emergent surgery for acute Type A dissection treated by supracoronary ascending and aortic valve replacement 19 years previously. Later, in a second endovascular approach, the descending aorta was treated by a thoracic endoprosthesis. During follow-up a dilated aortic root and a Type I endoleak were observed, and complex reoperation was required. We performed a total aortic arch replacement with a 4-branched graft and a complete aortic root replacement using the Cabrol technique for the reinsertion of the coronary arteries. The mechanical aortic normally functioning valve was preserved. The patient was discharged 30 days postoperatively.

scholarly journals Cause of Death Following Surgery for Acute Type A Dissection

Aorta ◽  
2017 ◽  
Vol 05 (02) ◽  
pp. 33-41 ◽  
Author(s):  
R. Scott McClure ◽  
Maral Ouzounian ◽  
Munir Boodhwani ◽  
Ismail El-Hamamsy ◽  
Michael Chu ◽  
...  
Keyword(s):  
Cause Of Death ◽  
Surgical Repair ◽  
Multiorgan Failure ◽  
Type A ◽  
Acute Type ◽  
Neurologic Injury ◽  
Perioperative Mortality ◽  
Acute Type A Dissection ◽  
Modifiable Factors ◽  
Type A Dissection

Background: Surgery confers the best chance of survival following acute Type A dissection (ATAD), yet perioperative mortality remains high. Although perioperative risk factors for mortality have been described, information on the actual causes of death is sparse. In this study, we aimed to characterize the inciting events causing death during surgical repair of ATAD. Methods: Nine centers participated in the study. We included all patients who died following surgical repair for ATAD between January 2007 and December 2013. An aortic surgeon at each site determined the primary cause of death from seven predetermined categories: cardiac, stroke, hemorrhage, other organ ischemia (peripheral, renal, or visceral), multiorgan failure, sepsis, or other causes. Additional characteristics and variables were analyzed to delineate potential modifiable factors for mortality. Results: Of the 692 surgeries for ATAD, there were 123 deaths (17.8% mortality rate). Mean age at death was 66 years. Events contributing to death were: cardiac (25%), stroke (22%), hemorrhage (21%), multiorgan failure (12%), other organ ischemia (11%), sepsis (4%), and other causes (5%). Neurologic injury at presentation was a predictor of stroke as the inciting cause of death (p = 0.04). Peripheral, renal, or visceral ischemia at presentation was highly predictive of death due to these presenting ischemic conditions (p = 0.004). We found no associations between cardiogenic shock, tamponade, or cardiopulmonary bypass duration and cardiac death. Conclusion: Operative mortality for ATAD remains high in Canada. Nearly 70% of deaths arise from cardiac failure, stroke, or hemorrhage. Therefore, novel surgical, hybrid, and endovascular strategies should target these three areas.

scholarly journals Morphological predictor of remodelling of the descending thoracic aortic false lumen that remains patent after repair of acute type A dissection

2018 ◽  
Vol 28 (4) ◽  
pp. 629-634
Author(s):  
Toshitaka Watanabe ◽  
Toshiro Ito ◽  
Hiroshi Sato ◽  
Takuma Mikami ◽  
Ryosuke Numaguchi ◽  
...  
Keyword(s):  
False Lumen ◽  
Type A ◽  
Acute Type ◽  
Acute Type A Dissection ◽  
Type A Dissection

scholarly journals Hybrid operating room concept for combined diagnostics, intervention and surgery in acute type A dissection

2012 ◽  
Vol 43 (2) ◽  
pp. 397-404 ◽  
Author(s):  
K. Tsagakis ◽  
T. Konorza ◽  
D. S. Dohle ◽  
E. Kottenberg ◽  
T. Buck ◽  
...  
Keyword(s):  
Operating Room ◽  
Type A ◽  
Acute Type ◽  
Hybrid Operating Room ◽  
Acute Type A Dissection ◽  
Type A Dissection
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