Spontaneous retrograde dissection of the ascending aorta in a patient with a bicuspid aortic valve : online article - case report

Bicuspid aortic valve (BAV) is a congenital anomaly associated with structural weakness of the aortic wall. Sudden onset of symptoms in patients with BAV, such as sudden severe back pain, and pulse inequality between the extremities or tension disparity should alert clinicians to acute aortic syndro...

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Bibliographic Details
Published in:Cardiovascular Journal Of Africa 2013-08, Vol.24 (5), p.8-10
Main Authors: Eryilmaz, Ufuk, Kurtoglu, Tunay, Akgullu, Cagdas, Hekim, Tolga, Gurcun, Ugur
Format: Article
Language:English
Subjects:
Bicuspid aortic valve
Retrograde ascending aortic dissection
Spontaneous
Transesophageal echocardiography
Online Access:Get full text
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Summary:Bicuspid aortic valve (BAV) is a congenital anomaly associated with structural weakness of the aortic wall. Sudden onset of symptoms in patients with BAV, such as sudden severe back pain, and pulse inequality between the extremities or tension disparity should alert clinicians to acute aortic syndromes, as they require prompt diagnosis and management. Retrograde aortic dissection, which is a rare form of acute aortic syndrome, is an uncommon life-threatening entity and may produce atypical computed tomography (CT) or magnetic resonance imaging findings, leading to difficulty in diagnosis. We report on a 51-year-old male patient with BAV and spontaneous retrograde ascending aortic dissection. CT findings were confusing and the diagnosis was made via transoesophageal echocardiography. After the diagnosis, the patient was treated with a modified Bentall procedure. He did not have any complications and was stable four months after the operation.
ISSN:1995-1892
1680-0745
DOI:10.5830/CVJA-2013-036