Aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture: a case report
Bicuspid aortic valve (BAV), the most common congenital cardiac anomaly, predisposes individuals to aortic stenosis and regurgitation due to valve degeneration. Abnormal hemodynamics, arterial wall characteristics, and genetic factors contribute to ascending aorta dilatation, potentially leading to...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-12-01
|
| Series: | Frontiers in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1471686/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850263559712276480 |
|---|---|
| author | Yuehang Yang Xinyi Liu Junwei Liu Jiawei Shi Huadong Li |
| author_facet | Yuehang Yang Xinyi Liu Junwei Liu Jiawei Shi Huadong Li |
| author_sort | Yuehang Yang |
| collection | DOAJ |
| description | Bicuspid aortic valve (BAV), the most common congenital cardiac anomaly, predisposes individuals to aortic stenosis and regurgitation due to valve degeneration. Abnormal hemodynamics, arterial wall characteristics, and genetic factors contribute to ascending aorta dilatation, potentially leading to severe complications like aortic dissection. Presently, the most recent guidelines propose that individuals with BAV requiring valve replacement due to valve dysfunction should undergo simultaneous replacement of the ascending aorta when the diameter of aortic dilatation exceeds 4.5 cm. A 60-year-old female patient previously underwent mechanical aortic valve replacement and ascending aortoplasty at our center due to aortic stenosis and a 4.3 cm diameter ascending aorta. In the sixth postoperative year, she was readmitted due to ascending aorta rupture, resulting in blood entering the right atrium and causing acute right heart failure. We performed repair of the rupture and concomitant ascending aorta replacement to prevent further exacerbation of the patient's condition. |
| format | Article |
| id | doaj-art-75bea498dffe4709a365fdffed858376 |
| institution | OA Journals |
| issn | 2297-055X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-75bea498dffe4709a365fdffed8583762025-08-20T01:54:57ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-12-011110.3389/fcvm.2024.14716861471686Aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture: a case reportYuehang Yang0Xinyi Liu1Junwei Liu2Jiawei Shi3Huadong Li4Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, ChinaDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaBicuspid aortic valve (BAV), the most common congenital cardiac anomaly, predisposes individuals to aortic stenosis and regurgitation due to valve degeneration. Abnormal hemodynamics, arterial wall characteristics, and genetic factors contribute to ascending aorta dilatation, potentially leading to severe complications like aortic dissection. Presently, the most recent guidelines propose that individuals with BAV requiring valve replacement due to valve dysfunction should undergo simultaneous replacement of the ascending aorta when the diameter of aortic dilatation exceeds 4.5 cm. A 60-year-old female patient previously underwent mechanical aortic valve replacement and ascending aortoplasty at our center due to aortic stenosis and a 4.3 cm diameter ascending aorta. In the sixth postoperative year, she was readmitted due to ascending aorta rupture, resulting in blood entering the right atrium and causing acute right heart failure. We performed repair of the rupture and concomitant ascending aorta replacement to prevent further exacerbation of the patient's condition.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1471686/fullascending aortic dilatationaortic rupturecardiac reoperationbicuspid aortic valveaortic valve replacement |
| spellingShingle | Yuehang Yang Xinyi Liu Junwei Liu Jiawei Shi Huadong Li Aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture: a case report Frontiers in Cardiovascular Medicine ascending aortic dilatation aortic rupture cardiac reoperation bicuspid aortic valve aortic valve replacement |
| title | Aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture: a case report |
| title_full | Aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture: a case report |
| title_fullStr | Aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture: a case report |
| title_full_unstemmed | Aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture: a case report |
| title_short | Aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture: a case report |
| title_sort | aortic valve replacement in a bicuspid aortic valve patient followed by reoperation for ascending aorta rupture a case report |
| topic | ascending aortic dilatation aortic rupture cardiac reoperation bicuspid aortic valve aortic valve replacement |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1471686/full |
| work_keys_str_mv | AT yuehangyang aorticvalvereplacementinabicuspidaorticvalvepatientfollowedbyreoperationforascendingaortaruptureacasereport AT xinyiliu aorticvalvereplacementinabicuspidaorticvalvepatientfollowedbyreoperationforascendingaortaruptureacasereport AT junweiliu aorticvalvereplacementinabicuspidaorticvalvepatientfollowedbyreoperationforascendingaortaruptureacasereport AT jiaweishi aorticvalvereplacementinabicuspidaorticvalvepatientfollowedbyreoperationforascendingaortaruptureacasereport AT huadongli aorticvalvereplacementinabicuspidaorticvalvepatientfollowedbyreoperationforascendingaortaruptureacasereport |