Acute supravalvular aortic stenosis following the replacement of the ascending aorta

• Published in: European journal of echocardiography Vol. 8; no. 3; pp. 232 - 234
• Main Authors: Cianciulli, Tomás Francisco, Fairman, Enrique B, Saccheri, María Cristina, Llanos Dethinne, Sergio D, Prezioso, Horacio Alberto
• Format: Journal Article
• Language: English
• Published: England 01-06-2007
• Subjects: Acute Disease; Aneurysm, Dissecting - surgery; Aorta - pathology; Aorta - surgery; Aortic Valve Stenosis - diagnostic imaging; Aortic Valve Stenosis - etiology; Graft Survival; Humans; Male; Middle Aged; Ultrasonography
• ISSN: 1525-2167
• DOI: 10.1016/j.euje.2006.04.005

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 84 mmHg. The patient underwent reoperation, the graft was removed and a new Dacron graft was put in place.