Interrupted Aortic Arch in a Patient with Patient-Prosthesis Mismatch after Aortic Valve Replacement

Abstract

This case presents a patient who underwent aortic valve replacement and presented 13 years later with high gradients across the prosthesis, mitral insufficiency, and severe systemic hypertension. Her preoperative workup led to the diagnosis of an interrupted aortic arch Type A. Her surgical management included an initial procedure to repair the interruption, and 11 months later after resolution of her hypertension, a second surgery, which included the Ross procedure and mitral valve repair.

Keywords

patient-prosthesis mismatch - interrupted aortic arch - Ross procedure - aortic stenosis - mitral insufficiency

Classifications

Aortic root replacement, aortic valve repair, aortic root, aortic operation, and aortic arch.

• References

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