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CC BY 4.0 · Aorta (Stamford) 2014; 02(03): 121-122
DOI: 10.12945/j.aorta.2014.14-018
Images in Aortic Disease
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Giant Aortic Root Aneurysm Presenting as Acute Type A Aortic Dissection

Authors

  • Guy M. Raz

    1   Department of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Carver College of Medicine, Iowa City, Iowa

  • Sotiris C. Stamou

    1   Department of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Carver College of Medicine, Iowa City, Iowa
Further Information

Publication History

05 March 2014

09 June 2014

Publication Date:
24 September 2018 (online)

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Abstract

A 49-year-old woman with four months of increasing episodic palpitations, chest pain, and shortness of breath presented to an outside clinic where a new 4/6 systolic ejection murmur was identified. A transthoracic echocardiogram revealed a large aortic root aneurysm. The patient underwent emergent repair of the dissected root aneurysm with a modified Bentall procedure utilizing a #19 St Jude Valsalva mechanical valve conduit. Postoperatively, she required a permanent pacemaker placement. Her echo showed ejection fraction improvement from a preoperative 25% to a postoperative 35%. She was discharged home on postoperative day 7.

Key Words

Aneurysm - Aortic root - Bentall procedure