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European Journal of Echocardiography 2007 8(3):232-234; doi:10.1016/j.euje.2006.04.005
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Copyright © 2006, The European Society of Cardiology

Acute supravalvular aortic stenosis following the replacement of the ascending aorta

Tomás Francisco Cianciulli1,*, Enrique B. Fairman, María Cristina Saccheri1, Sergio D. Llanos Dethinne and Horacio Alberto Prezioso

Department of Cardiology, Clínica Bazterrica, Buenos Aires, Argentina

Received 12 March 2006; received in revised form 30 March 2006; accepted after revision 14 April 2006.

* Corresponding author. Echocardiography Laboratory, Juncal 3002, Capital Federal (C1425DCB), Buenos Aires, Argentina. Tel.: +54 11 4801 5510; fax: +54 11 4801 4157. tcianciulli{at}fibertel.com.ar


  Abstract

We report a very rare case of ascending aortic replacement complicated by acute supravalvular aortic stenosis. A 53-year-old man was referred to our Institution for evaluation of a systolic murmur and congestive heart failure. He had undergone elective ascending aortic replacement one month previously due to acute type A aortic dissection. On admission, transesophageal echocardiography revealed a proximal leak with a pseudoaneurysm compressing the aortic graft and generating a systolic gradient of 84mmHg. The patient underwent reoperation, the graft was removed and a new Dacron graft was put in place.

Keywords: Acute ascending aortic dissection; Echocardiography; Graft collapse; Acute supravalvular aortic stenosis; Pseudoaneurysm

1 Researchers of the Secretary of Health, Government of the City of Buenos Aires.


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