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[A case of ascending aortic dissection after aortic valve replacement in congenital bicuspid aortic valve].

Abstract
Congenital bicuspid aortic valve is a risk factor of aortic dissection, but the case is rare in Japan. Several reports described ascending aortic aneurysm after aortic valve replacement. In these reports, most of aneurysms were false aneurysm, but the cases of ascending aortic dissection were rare. In this case, dissecting aneurysm of the ascending aorta occurred 4 years after aortic valve replacement, which was performed with mechanical prosthesis because of infective endocarditis, and it was repaired successfully by the modified Cabrol's method. This case was congenital bicuspid aortic valve, and had already been complicated with moderate aortic dilatation in the ascending aorta. In patients of congenital bicuspid aortic valve with aortic dilatation, consideration of complete replacement of the ascending aorta with aortic valve replacement is important.
AuthorsT Osada, T Nagae, T Hirayama, S Ishimaru, K Furukawa
Journal[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai (Nihon Kyobu Geka Gakkai Zasshi) Vol. 40 Issue 10 Pg. 1928-32 (Oct 1992) ISSN: 0369-4739 [Print] Japan
PMID1431414 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Adult
  • Aortic Dissection (etiology, surgery)
  • Aortic Aneurysm (etiology, surgery)
  • Aortic Valve (abnormalities, surgery)
  • Heart Valve Prosthesis (adverse effects)
  • Humans
  • Male

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