Open AccessGiant Aortic Root Aneurysm Presenting as Acute Type A Aortic Dissection
Author(s) -
Guy Raz,
Sotiris C. Stamou
Publication year - 2014
Publication title -
aorta
Language(s) - Uncategorized
Resource type - Journals
ISSN - 2325-4637
DOI - 10.12945/j.aorta.2014.14-018
Subject(s) - palpitations , medicine , transesophageal echocardiogram , bentall procedure , cardiology , aortic dissection , aneurysm , chest pain , transthoracic echocardiogram , ejection fraction , aortic root , aortic valve , aortic aneurysm , surgery , heart failure , aorta
A 49-year-old woman with four months of increasing episodic palpitations, chest pain, and shortness of breath presented to an outside clinic where a new 4/6 systolic ejection murmur was identified. A transthoracic echocardiogram revealed a large aortic root aneurysm. The patient underwent emergent repair of the dissected root aneurysm with a modified Bentall procedure utilizing a #19 St Jude Valsalva mechanical valve conduit. Postoperatively, she required a permanent pacemaker placement. Her echo showed ejection fraction improvement from a preoperative 25% to a postoperative 35%. She was discharged home on postoperative day 7.