Details

Autor(en) / Beteiligte

• Turley, Andrew J.
• Dark, John
• Adams, Philip C.

Titel

Acquired supravalvular aortic stenosis: a late complication of replacement of the ascending aorta

Ist Teil von

• European journal of cardio-thoracic surgery, 2008-09, Vol.34 (3), p.690-692

Ort / Verlag

Amsterdam: Elsevier Science B.V

Erscheinungsjahr

2008

Quelle

Oxford Journals 2020 Medicine

Beschreibungen/Notizen

• Aortic syndromes are an increasing cause of morbidity and mortality. Ascending aortic dissection is a clinical emergency with most patients requiring open surgery to replace the ascending aorta. Detection through clinical suspicion, improved non-invasive imaging and refined surgical techniques have resulted in an improved survival rate. Acquired supravalvular aortic stenosis is an extremely rare complication of cardiac surgery. We present the case of a patient who, 15 years after undergoing elective replacement of the ascending aorta for aortic dissection, required repeat surgery for symptomatic supravalvular aortic stenosis. This case elegantly highlights the need for a detailed focused assessment in patients where the clinical presentation does not correlate with initial investigations. To our knowledge this is the first reported case of late symptomatic supravalvular aortic stenosis following replacement of the ascending aorta.