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Subtle aortic dissection in a patient with severe aortic regurgitation and undiagnosed bicuspid aortic valve: A case report with a literature review
Author(s) -
Sef Davorin,
Brown Stewart,
Jarral Omar A.,
Hussain Azhar,
Haslam Elizabeth,
Rajakaruna Cha,
McAloon Christopher J.
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15714
Subject(s) - medicine , bicuspid aortic valve , aortic dissection , regurgitation (circulation) , bentall procedure , aortic valve , radiology , dissection (medical) , cardiology , surgery , aorta
Background and aim of the study: A subtle aortic dissection can be challenging to detect despite the availability of multiple diagnostic modalities. Whilst rare, the inability to detect this variant of aortic dissection can lead to a dismal prognosis. We present an extremely rare case of a subtle aortic dissection with supra‐annular aortic root intimal tear and acute severe aortic regurgitation in a patient with a bicuspid aortic valve. Methods: Case report and literature review conserning subtle aortic dissection is provided. Results: Initial concerns were either aortic dissection or infective endocarditis. Despite advanced multimodality preoperative imaging, diagnosis was made intraoperatively and a Bentall procedure with a mechanical aortic valve was performed. Conclusions: Our case along with the review of current literature emphasizes that current imaging techniques may be inadequate for diagnosis of this rare variant of aortic dissection.