Abstract
A previously fit 21-year-old man presented with severel central chest pain. Clinical, electrocardiographic, and echocardiographic examination confirmed a dissection of an aneurysmal ascending aorta in the presence of previously undiagnosed severe aortic coarctation. Initial aortic dissection had occurred five days before admission. The medical and staged surgical management of the case are presented. Surgical survival with such a combination of lesions does not appear to have been previously recorded.
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- CHIR M., PROBERT W. R. Coarctation of the aorta associated with an aneurysm leaking into the bronchial tree, treated by aortic resection and grafting. Proc R Soc Med. 1956 Oct;49(10):729–731. doi: 10.1177/003591575604901003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Collins J. J., Jr, Cohn L. H. Reconstruction of the aortic valve. Correcting valve incompetence due to acute dissecting aneurysm. Arch Surg. 1973 Jan;106(1):35–37. doi: 10.1001/archsurg.1973.01350130037008. [DOI] [PubMed] [Google Scholar]
- Cossette R., Davignon A., Stanley P. Ruptured aortic aneurysm in a 3 and one half-year-old child with coarctation of the aorta. Can Med Assoc J. 1969 Feb 1;100(5):257–261. [PMC free article] [PubMed] [Google Scholar]
- Daily P. O., Trueblood H. W., Stinson E. B., Wuerflein R. D., Shumway N. E. Management of acute aortic dissections. Ann Thorac Surg. 1970 Sep;10(3):237–247. doi: 10.1016/s0003-4975(10)65594-4. [DOI] [PubMed] [Google Scholar]
- Dalen J. E., Alpert J. S., Cohn L. H., Black H., Collins J. J. Dissection of the thoracic aorta. Medical or surgical therapy? Am J Cardiol. 1974 Dec;34(7):803–808. doi: 10.1016/0002-9149(74)90700-0. [DOI] [PubMed] [Google Scholar]
- Edwards J. E. Aneurysms of the thoracic aorta complicating coarctation. Circulation. 1973 Jul;48(1):195–201. doi: 10.1161/01.cir.48.1.195. [DOI] [PubMed] [Google Scholar]
- MCKUSICK V. A., LOGUE R. B., BAHNSON H. T. Association of aortic valvular disease and cystic medial necrosis of the ascending aorta; report of four instances. Circulation. 1957 Aug;16(2):188–194. doi: 10.1161/01.cir.16.2.188. [DOI] [PubMed] [Google Scholar]
- McKusick V. A. Association of congenital bicuspid aortic valve and erdheim's cystic medial necrosis. Lancet. 1972 May 6;1(7758):1026–1027. doi: 10.1016/s0140-6736(72)91211-1. [DOI] [PubMed] [Google Scholar]
- Nikaido H., Idriss F. S., Riker W. L. Aortic rupture in children as a complication of coarctation of the aorta. Arch Surg. 1973 Dec;107(6):838–841. doi: 10.1001/archsurg.1973.01350240010005. [DOI] [PubMed] [Google Scholar]
- Strong W. W., Moggio R. A., Stansel H. C., Jr Acute aortic dissection. Twelve-year medical and surgical experience. J Thorac Cardiovasc Surg. 1974 Nov;68(5):815–821. [PubMed] [Google Scholar]
- Symbas P. N., Raizner A. E., Tyras D. H., Hatcher C. R., Jr, Inglesby T. V., Baldwin B. J. Aneurysms of all sinuses of Valsalva in patients with Marfan's syndrome: an unusual late complication following replacement of aortic valve and ascending aorta for aortic regurgitation and fusiform aneurysm of ascending aorta. Ann Surg. 1971 Dec;174(6):902–907. doi: 10.1097/00000658-197112000-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WHEAT M. W., Jr, PALMER R. F., BARTLEY T. D., SEELMAN R. C. TREATMENT OF DISSECTING ANEURYSMS OF THE AORTA WITHOUT SURGERY. J Thorac Cardiovasc Surg. 1965 Sep;50:364–373. [PubMed] [Google Scholar]