We report the case of a 60-year-old man undergone an aortic valve replacement with a Smeloff- Cutter prosthesis 40 years ago. The patient underwent a redo aortic valve and ascending aorta replacement for ascending aorta aneurysm that intraoperatively appeared as a chronic Type A aortic dissection. The Smeloff-Cutter prosthesis looked intact and functionally normal. The ascending portion of the aorta appeared dissected two centimeters above the sino-tubular junction, between the non-coronary and the left coronary valsalva sinuses: we speculate that Smeloff-Cutter prosthesis may contribute, due to its rheology and features, to the determinism of aortic dilatation and subsequently dissection.
We report the case of a 60-year-old man undergone an aortic valve replacement with a Smeloff- Cutter prosthesis 40 years ago. The patient underwent a redo aortic valve and ascending aorta replacement for ascending aorta aneurysm that intraoperatively appeared as a chronic Type A aortic dissection. The Smeloff-Cutter prosthesis looked intact and functionally normal. The ascending portion of the aorta appeared dissected two centimeters above the sino-tubular junction, between the non-coronary and the left coronary valsalva sinuses: we speculate that Smeloff-Cutter prosthesis may contribute, due to its rheology and features, to the determinism of aortic dilatation and subsequently dissection.
Type A Chronic Aortic Dissection in 40-Years Old Smeloff-Cutter Aortic Valve / Antonio, Barretta; Marullo, Antonino; Peruzzi, Mariangela; Mazzesi, Giuseppe; Piero, Proietti; Greco, Ernesto; Rose, David; Chirichilli, Ilaria; Santo, Chiara; Frati, Giacomo. - In: INTERNATIONAL JOURNAL OF CASE REPORTS IN MEDICINE. - ISSN 2327-3542. - STAMPA. - (2014), pp. 1-6. [10.5171/2014.871865]
Type A Chronic Aortic Dissection in 40-Years Old Smeloff-Cutter Aortic Valve
MARULLO, Antonino;PERUZZI, MARIANGELA;MAZZESI, Giuseppe;GRECO, Ernesto;ROSE, DAVID;CHIRICHILLI, ILARIA;SANTO, CHIARA;FRATI, GIACOMO
2014
Abstract
We report the case of a 60-year-old man undergone an aortic valve replacement with a Smeloff- Cutter prosthesis 40 years ago. The patient underwent a redo aortic valve and ascending aorta replacement for ascending aorta aneurysm that intraoperatively appeared as a chronic Type A aortic dissection. The Smeloff-Cutter prosthesis looked intact and functionally normal. The ascending portion of the aorta appeared dissected two centimeters above the sino-tubular junction, between the non-coronary and the left coronary valsalva sinuses: we speculate that Smeloff-Cutter prosthesis may contribute, due to its rheology and features, to the determinism of aortic dilatation and subsequently dissection.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
