Abstract
We report a case of a 57-year-old female with dextrocardia and a solitary kidney. A patch aortoplasty for isthmic aortic coarctation repair was performed 40 years before when she was admitted to our department for dyspnea. Computed tomography scan showed a giant and saccular 10-cm diameter patch false aneurysm. The ascending aortic diameter was 34 mm and the echocardiography confirmed a severe aortic regurgitation of a bicuspid aortic valve. We decided to perform a 2-step approach: biologic aortic valve and ascending aorta replacement with total debranching of the epiaortic vessels and thoracic endovascular aneurysm repair for complete false aneurysm exclusion.
Copyright © 2019 Elsevier Inc. All rights reserved.
MeSH terms
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Aneurysm, False / diagnostic imaging
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Aneurysm, False / etiology
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Aneurysm, False / surgery*
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Aortic Aneurysm / diagnostic imaging
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Aortic Aneurysm / etiology
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Aortic Aneurysm / surgery*
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Aortic Coarctation / complications
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Aortic Coarctation / surgery*
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Aortic Valve / abnormalities
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Aortic Valve Insufficiency / diagnostic imaging
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Aortic Valve Insufficiency / etiology
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Aortic Valve Insufficiency / surgery*
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Bicuspid Aortic Valve Disease
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation* / instrumentation
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Dextrocardia / complications
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Endovascular Procedures* / instrumentation
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Female
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Heart Valve Diseases / complications
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Heart Valve Prosthesis
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Heart Valve Prosthesis Implantation* / instrumentation
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Humans
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Middle Aged
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Prosthesis Design
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Solitary Kidney / complications
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Time Factors
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Treatment Outcome
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Vascular Surgical Procedures / adverse effects*