A huge saccular aortic aneurysm compressing right coronary artery 7 years after aortic valve replacement due to bicuspid aortic valve insufficiency: A rare case report.

Park, Sang Min; Jeong, Haemin; Hong, Kyung-Soon; Kim, Christopher
Medicine
2016Oct ; 95 ( 40 ) :e4860.
저자 상세정보
Park, Sang Min -
Jeong, Haemin -
Hong, Kyung-Soon -
Kim, Christopher -
ABSTRACT
BACKGROUND: In a patient underwent aortic valve replacement (AVR) due to bicuspid aortic valve (BAV) insufficiency without marked dilation of ascending aorta, the development of delayed-typed aneurysmal complication of ascending aorta has been often reported because the dilated aorta tends to grow insidiously with age. CASE SUMMARY: A 58-year-old man who underwent AVR with mechanical valve due to severe aortic regurgitation secondary to BAV 7 years previously presented with exertional chest discomfort for 1 year. An echocardiography showed a well-functioning mechanical aortic valve without any significant abnormal findings. Cardiac multidetector computed tomography (MDCT) revealed a huge saccular aortic root aneurysm (79.7?mm 횞 72.8?mm in size) compressing the proximal right coronary artery resulting in ??0% eccentric diffuse luminal narrowing. The patient subsequently underwent open-heart surgery with resection of the ascending aortic aneurysmal sac and consecutive ascending aorta and hemi-arch replacement using a graft. CONCLUSION: After successful AVR in the patient with BAV insufficiency and mildly dilated ascending aorta, a regular aortic imaging such as cardiac MDCT with aortography would be helpful to monitor the morphology and size of ascending aorta and related complications to guide future management.
aortic aneurysm, aortic valve replacement, bicuspid aortic valve, computed tomography, coronary artery
MESH
Aortic Aneurysm/*diagnostic imaging/*etiology/surgery, Aortic Valve/*abnormalities/surgery, Aortography, Coronary Angiography, Coronary Stenosis/*diagnostic imaging/etiology/surgery, Heart Valve Diseases/*complications/surgery, *Heart Valve Prosthesis Implantation, Humans, Male, Middle Aged, Multidetector Computed Tomography, Postoperative Complications/*diagnostic imaging/etiology/surgery, Time Factors
링크

주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
This study present a rare case of huge saccular aneurysm compressing the RCA 7 years after AVR in a patient with BAV insufficiency; After successful AVR in the patient with BAV insufficiency and mildly dilated ascending aorta, a regular aortic imaging such as cardiac MDCT with aortography would be helpful to monitor the morphology and size of ascending aorta and related complications to guide future management.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
DOI
10.1097/MD.0000000000004860
KCD코드
ICD 03
건강보험코드