Back to Search
Start Over
Ascending Aortic Stenting for Acute Supraaortic Stenosis From Graft Collapse
- Source :
- The Annals of Thoracic Surgery. 105:e243-e245
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- A 78-year-old man with remote type-A dissection presented with acute-onset dyspnea. Twenty-two years prior, treatment for his aortic disease required replacement of ascending and arch aneurysms with a polyester graft (Dacron) using the graft inclusion technique. He presented currently in cardiogenic shock. Echocardiography demonstrated new severe hypokinesis of all apical segments. Left-heart catheterization revealed a 120 mm Hg intragraft gradient. Computed tomography arteriography was unrevealing, but intraaortic ultrasound demonstrated critical intragraft stenosis. A balloon expandable stent (Palmaz stent, Cordis, Milpitas, CA) was deployed in the stenotic region with gradient resolution. The patient later underwent aortic root replacement and ascending aneurysm repair (Bio-Bentall technique) and is doing well at 24 months.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Aortic root
Dissection (medical)
030204 cardiovascular system & hematology
Aortic disease
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Aneurysm
medicine
Humans
030212 general & internal medicine
Aged
business.industry
Cardiogenic shock
Ultrasound
Palmaz stent
medicine.disease
Prosthesis Failure
Surgery
Aortic Stenosis, Supravalvular
Stenosis
Aortic Valve
Heart Valve Prosthesis
Acute Disease
Stents
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 105
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....375bb360edd11d1f91bf3bc8d91e3ba1