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: 361
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
- Jaikrit Bhutani, Aditya Batra, Ashu Gupta, Anshul Gupta, Kunal Mahajan, Transient left ventricular dysfunction after therapeutic pericardiocentesis - Takotsubo cardiomyopathy or pericardial decompression syndrome , Monaldi Archives for Chest Disease: Vol. 92 No. 4 (2022)
- Shoaib Ahmad, Uzzam Ahmed Khawaja, Syed Meeran Haider, Wafaa Binti Mowlabaccus, Anmol Mohan, Asad Ansari, Muhammad Ahmad, Tulika Garg, Hafsa Ahmed, Shkaib Ahmad, Mohammad Yasir Essar, Javier Perez-Fernandez, George D. Yatzkan, Assessing the knowledge, attitude, and practice measures against tuberculosis in patients in ambulatory department facilities in Pakistan: a cross-sectional analysis , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Guido Levi, Marco Umberto Scaramozzino, Stefania Cavallo, Giuliano Castignini, Michela Bezzi, Laura Pini, Frank Nania, Sheenam Sheenam, Pulmonary rehabilitation improves functional outcomes and quality of life in post-SARS-CoV-2 mild-to-moderate infection patients: a pilot study , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Mariana Gomes Tinoco, Margarida Castro, Luísa Pinheiro, Tamara Pereira, Margarida Oliveira, Sílvia Ribeiro, Nuno Ferreira, Olga Azevedo, António Lourenço, “Hot phase” clinical presentation of biventricular arrhythmogenic cardiomyopathy: when the perfect electrical storm spontaneously stops , Monaldi Archives for Chest Disease: Early Access
- Gian Francesco Mureddu, Andrea Faggiano, Utility and limitations of ejection fraction and of diastolic dysfunction in heart failure patients , Monaldi Archives for Chest Disease: Vol. 89 No. 1 (2019)
- Shekhar Kunal, Kashish Gupta, Shashi Mohan Sharma, Vijay Pathak, Shruti Mittal, Chandrakant Tarke, Cardiovascular system and COVID-19: perspectives from a developing country , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
- Nitesh Gupta, Pranav Ish, Rohit Kumar, Nishanth Dev, Siddharth Raj Yadav, Nipun Malhotra, Sumita Agrawal, Rajni Gaind, Harish Sachdeva, *Other members of the Safdarjung Hospital COVID 2019 working group, Evaluation of the clinical profile, laboratory parameters and outcome of two hundred COVID-19 patients from a tertiary centre in India , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
- Elisabetta Zampogna, Giorgio Bertolotti, Nicolino Ambrosino, Giuseppe Lo Bello, Francesca Cherubino, Alessandra Ianni, Mara Paneroni, Patrizia Pignatti, Dina Visca, Andrea Zanini, Andrea Giordano, The Maugeri daily activity profile: a tool to assess physical activity in patients with chronic obstructive pulmonary disease , Monaldi Archives for Chest Disease: Vol. 91 No. 4 (2021)
- Shreyash Agrawal, Ravindra Nath, Pranav Ish, Neeraj Kumar Gupta, Rajni Gaind, Suniti Kale, Rani Gera, Anjali Dabral, Nitesh Gupta, *Other members of the Safdarjung Hospital COVID 2019 working group, Clinico-epidemiological profile of COVID-19 patients admitted during third wave of pandemic in a tertiary care hospital in New Delhi, India , Monaldi Archives for Chest Disease: Vol. 93 No. 2 (2023)
- Rita Costa, Antonio Esquinas , Predictors of post-COVID syndrome. Getting ready for the future , Monaldi Archives for Chest Disease: Vol. 93 No. 3 (2023)
<< < 43 44 45 46 47 48 49 50 51 52 > >>
You may also start an advanced similarity search for this article.
