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Management of a complicated redo giant dissecting aortic aneurysm

Giant aortic aneurysm is defined as an aneurysm of the aorta of greater than 10 cm in diameter. This rare condition is associated with a high risk of morbidity and mortality and it may lead to fatal complications such as rupture and/or dissection if not managed with proper surgical planning and expe...

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Autores principales: Kara, Ibrahim, Erkin, Alper, Erkengel,, Halil Ibrahim, Asil, Kıyasettin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Clinics Cardive Publishing 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5646189/
https://www.ncbi.nlm.nih.gov/pubmed/28906534
http://dx.doi.org/10.5830/CVJA-2016-087
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author Kara, Ibrahim
Erkin, Alper
Erkengel,, Halil Ibrahim
Asil, Kıyasettin
author_facet Kara, Ibrahim
Erkin, Alper
Erkengel,, Halil Ibrahim
Asil, Kıyasettin
author_sort Kara, Ibrahim
collection PubMed
description Giant aortic aneurysm is defined as an aneurysm of the aorta of greater than 10 cm in diameter. This rare condition is associated with a high risk of morbidity and mortality and it may lead to fatal complications such as rupture and/or dissection if not managed with proper surgical planning and expertise. Other than atherosclerosis, the main causes of giant ascending aortic aneurysms include Marfan and Ehlers–Danhlos syndromes. Herein we report on a young male patient who had had an aortic valve replacement five years earlier due to a bicuspid aortic valve leading to aortic failure, accompanied by aortic coarctation. He had an aneurysmal expansion rate of 1.81 cm/year to reach a final aneurysmal diameter of 13.25 cm, which, to our knowledge, represents the largest size ever reported in the literature for such lesions, and in which the redo and aneurysmal wall were adjacent to the sternal margins.
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spelling pubmed-56461892017-10-31 Management of a complicated redo giant dissecting aortic aneurysm Kara, Ibrahim Erkin, Alper Erkengel,, Halil Ibrahim Asil, Kıyasettin Cardiovasc J Afr Case Report Giant aortic aneurysm is defined as an aneurysm of the aorta of greater than 10 cm in diameter. This rare condition is associated with a high risk of morbidity and mortality and it may lead to fatal complications such as rupture and/or dissection if not managed with proper surgical planning and expertise. Other than atherosclerosis, the main causes of giant ascending aortic aneurysms include Marfan and Ehlers–Danhlos syndromes. Herein we report on a young male patient who had had an aortic valve replacement five years earlier due to a bicuspid aortic valve leading to aortic failure, accompanied by aortic coarctation. He had an aneurysmal expansion rate of 1.81 cm/year to reach a final aneurysmal diameter of 13.25 cm, which, to our knowledge, represents the largest size ever reported in the literature for such lesions, and in which the redo and aneurysmal wall were adjacent to the sternal margins. Clinics Cardive Publishing 2017 /pmc/articles/PMC5646189/ /pubmed/28906534 http://dx.doi.org/10.5830/CVJA-2016-087 Text en Copyright © 2015 Clinics Cardive Publishing http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kara, Ibrahim
Erkin, Alper
Erkengel,, Halil Ibrahim
Asil, Kıyasettin
Management of a complicated redo giant dissecting aortic aneurysm
title Management of a complicated redo giant dissecting aortic aneurysm
title_full Management of a complicated redo giant dissecting aortic aneurysm
title_fullStr Management of a complicated redo giant dissecting aortic aneurysm
title_full_unstemmed Management of a complicated redo giant dissecting aortic aneurysm
title_short Management of a complicated redo giant dissecting aortic aneurysm
title_sort management of a complicated redo giant dissecting aortic aneurysm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5646189/
https://www.ncbi.nlm.nih.gov/pubmed/28906534
http://dx.doi.org/10.5830/CVJA-2016-087
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