Clinical and Hemodynamic Follow-up of a Patient After Operation for Dissection of an Ascending Aortic Aneurysm Secondary to Coarctation of the Aorta

• DOI: 10.1536/ihj.46.1123
• Publication Date: 2005-12-29T05:56:54Z
• Authors: Gulumser Heper; Yavuz Yorukoglu; Mehmet Emin Korkmaz
• Keywords: Adult; Male; Reoperation; Anemia, Hemolytic; Hemodynamics; Kidney; Aortic Coarctation; Aortic Aneurysm; Aortic Dissection; Blood Vessel Prosthesis Implantation; 03 medical and health sciences; 0302 clinical medicine; Humans; Aorta; Echocardiography, Transesophageal; Follow-Up Studies

We present clinical follow-up of a 20-year-old male with an aortic aneurysm secondary to coarctation. The diagnosis coarctation was made in 1997. patient did not agree undergo any invasive or therapeutic procedures at that time. He presented emergency unit severe chest pain after trauma obtained during judo exercises 1998. Two-dimensional echocardiography showed bicuspid valves, ascending 6 cm diameter intimal flap and false lumen, distal the left subclavian artery, insufficiency annular dilatation. Type II dissection confirmed by transesophageal echocardiography, which confined aorta. extended beginning arcus Following stabilization patient's condition, balloon angioplasty performed reduce afterload hypertension facilitate femoral artery cannulation for cardiopulmonary bypass. Surgical included resection valve prosthetic implantation, aorta, interposition 22 mm Hamashied tubular vascular graft. At visit years later, reported being easily fatigued having palpitations. had been suffering from hemolytic anemia mild renal function impairment. Cardiac catheterisation angiography 40 mmHg gradient due kinking graft no site. postulated may be related inappropriate length. also thought hemolysis attributable disturbance blood flow jet site A second operation because decreased progressively symptoms increased. After operation, on peripheral smears disappeared shown progressive improvements.