https://doi.org/10.4081/monaldi.2024.2936
Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy
Submitted: January 29, 2024
Accepted: March 12, 2024
Published: March 18, 2024
Accepted: March 12, 2024
Abstract Views: 365
PDF_EARLY VIEW: 158
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
We report the case of an incidental finding of a huge aneurysm of the ascending aorta with a congenital bicuspid aortic valve type 0-lateral. This severe condition was totally unknown to the patient, who was asymptomatic for cardiovascular disease. The aneurysmal mass involved the entire mediastinum, altering the normal anatomical relations, so the operative strategy was modified intraoperatively, tailoring the surgical technique to the anatomical conditions found. Despite a delayed awakening, the patient had an uncomplicated postoperative course. Therefore, this case highlights the importance of not underestimating nonspecific, seemingly harmless symptoms and signs that may reveal potentially catastrophic pathologies, while also focusing on the surgical technique used. The modified Cabrol procedure, while an underutilized technique, if present in the cardiac surgeon's "arsenal," can represent a life-saving strategy in complex cases requiring an aortic valve and ascending aorta replacement.
Shah P, Gupta N, Goldfarb I, Shamoon F. Giant dissecting aortic aneurysm in an asymptomatic young male. Case Rep Vasc Med 2015;2015:958464.
DOI: https://doi.org/10.1155/2015/958464
Yamashita T, Hayashi T, Tabata T, at all. Bicuspid aortic valve-associated aortic dilatation - what is the mechanism of bicuspid aortopathy?. Circ J 25;82:2470-1.
DOI: https://doi.org/10.1253/circj.CJ-18-0844
Michelena HI, Della Corte A, Evangelista A, et al. International consensus statement on nomenclature and classification of the congenital bicuspid aortic valve and its aortopathy, for clinical, surgical, interventional and research purposes. J Thorac Cardiovasc Surg 2021;162:e383-e414.
DOI: https://doi.org/10.1016/j.jtcvs.2021.06.019
Isselbacher EM, Preventza O, Hamilton Black J 3rd, et al. 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association/American College of Cardiology Joint Committee on clinical practice guidelines. Circulation 2022;146:e334-e482.
DOI: https://doi.org/10.1161/CIR.0000000000001097
Di Michele S, Parato VM, Di Giannuario G, et al. Unlocking insights in bicuspid aortic valve management in adult patients: the vital role of cardiac imaging. Monaldi Arch Chest Dis 2023;94(1).
DOI: https://doi.org/10.4081/monaldi.2023.2761
Okura T, Kitami Y, Takata Y, et al. Giant unruptured aneurysm of the thoracic aorta-a case report. Angiology 1999;50:865-9.
DOI: https://doi.org/10.1177/000331979905001012
Pape LA, Tsai TT, Isselbacher EM, et al. Aortic diameter >or = 5.5 cm is not a good predictor of type A aortic dissection: observations from the International Registry of Acute Aortic Dissection (IRAD). Circulation 2007;116:1120-7.
DOI: https://doi.org/10.1161/CIRCULATIONAHA.107.702720
Mossuto E, Milano A, Bortolotti U. The Cabrol technique for replacement of the aortic valve and totally calcified ascending aorta: a case report. J Heart Valve Dis 1994;3:98-100.
Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg 2007;133:1226-33.
DOI: https://doi.org/10.1016/j.jtcvs.2007.01.039
How to Cite
Romeo, Maria Grazia, Emanuele Pilato, Raffaele Giordano, Giuseppe Comentale, Gabriele Iannelli, Domenico Romeo, Bruna Miserrafiti, and Luigi Di Tommaso. 2024. “Asymptomatic Giant Ascending Aortic Aneurysm: A Challenging Surgical Strategy for a Silent Bicuspid Aortopathy”. Monaldi Archives for Chest Disease, March. https://doi.org/10.4081/monaldi.2024.2936.
Copyright (c) 2024 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Paolo Piergentili, Roberto Valle, Loredano Milani, Clinical and treatment profiles of patients affected by acute coronary syndromes derived from administrative databases in the ASSL 10 Veneto orientale , Monaldi Archives for Chest Disease: Vol. 76 No. 1 (2011): Cardiac series
- Yaser Jenab, Marzieh Pourjafari, Maryam Sotoudeh, Masoumeh Lotfi-tokaldany, Nasrin Etesamifard, Shapour Shirani, Arash Jalali, Younes Nozari, Hamid-reza Poorhosseini, Comparing the effect of cardiac biomarkers on the outcome of normotensive patients with acute pulmonary embolism , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
- Raffaele Griffo, Marco Ambrosetti, Giuseppe Furgi, Roberto Carlon, Carmine Chieffo, Giuseppe Favretto, Oreste Febo, Ugo Corrà , Francesco Fattirolli, Pantaleo Giannuzzi, Cesare Greco, Massimo F. Piepoli, Pier Luigi Temporelli, Roberto Tramarin, Stefano Urbinati, Standards and outcome measures in Cardiovascular Rehabilitation. Position Paper GICR/IACPR , Monaldi Archives for Chest Disease: Vol. 78 No. 4 (2012): Cardiac series
- Marco Ambrosetti, Gabriella Malfatto, Anna Maria Cremona, Marcello Arca, Pompilio Faggiano, Familial Hypercholesterolemia in Cardiac Rehabilitation: a new field of interest , Monaldi Archives for Chest Disease: Vol. 82 No. 2 (2014): Cardiac series
- Tommaso Diaco, Oreste Febo, Marco Ambrosetti, Claudio Malinverni, Continued care in patients with cardiac failure in Regione Lombardia: central role of Cardiac Rehabilitation reaffirmed , Monaldi Archives for Chest Disease: Vol. 74 No. 2 (2010): Cardiac series
- Konstantinos Kapriniotis, Angelina Bania, Savvas Lampridis, Georgios Geropoulos, Sofoklis Mitsos, Fleur Monk, David A. Moore, Nikolaos Panagiotopoulos, Metastatic mandibular ameloblastoma of the lung ten years after primary resection: A rare case report , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Ekta Gupta, Pooja Singh, Sunaina Tejpal Karna, Yogesh Niwariya, Vaishali Waindeskar, Sourabh Jain, Rajesh Panda, Sandeep Kumar, Comparison of lung ultrasound technique versus clinical method to evaluate the accuracy of size and placement of left endobronchial double lumen tube in patients undergoing elective thoracic surgery: a prospective observational study , Monaldi Archives for Chest Disease: Early Access
- Martina Maria Seminara, Dina Visca, Alice Claudia Repossi, Antonio Spanevello, Mycobacterium chimaera: a case report from Italy , Monaldi Archives for Chest Disease: Early Access
- Marika Werren, Roberto Copetti, Nicola Gaibazzi, Franco Giada, Andrea Faggiano, Chiara Ricci, Pompilio Faggiano, Choosing wisely in cardiology: Five proposals from the Italian Association for Cardiovascular Prevention and Rehabilitation , Monaldi Archives for Chest Disease: Vol. 89 No. 2 (2019)
- Enrico Vizzardi, Ilaria Cavazzana, Franco Franceschini, Ivano Bonadei, Edoardo Sciatti, Carlo M Lombardi, Angela Tincani, Marco Metra, Left ventricular function in rheumatoid arthritis during anti-TNF-α treatment: a speckle tracking prospective echocardiographic study , Monaldi Archives for Chest Disease: Vol. 84 No. 1-2 (2015): Cardiac series
<< < 18 19 20 21 22 23 24 25 26 27 > >>
You may also start an advanced similarity search for this article.
