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CC BY 4.0 · Aorta (Stamford) 2019; 07(05): 140-143
DOI: 10.1055/s-0039-3401010
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Interrupted Aortic Arch in a Patient with Patient-Prosthesis Mismatch after Aortic Valve Replacement

Ziv Beckerman
1   Department of Surgery and Perioperative Care, University of Texas Dell Medical School, Austin, Texas
2   Texas Center for Pediatric and Congenital Heart Disease, University of Texas Health Austin/Dell Children's Medical Center, Austin, Texas
,
LaRonica McPherson
3   Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia
,
Edward P. Chen
3   Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia
› Author Affiliations Funding None.
Further Information

Publication History

29 March 2018

19 October 2019

Publication Date:
04 February 2020 (online)

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Abstract

This case presents a patient who underwent aortic valve replacement and presented 13 years later with high gradients across the prosthesis, mitral insufficiency, and severe systemic hypertension. Her preoperative workup led to the diagnosis of an interrupted aortic arch Type A. Her surgical management included an initial procedure to repair the interruption, and 11 months later after resolution of her hypertension, a second surgery, which included the Ross procedure and mitral valve repair.

Keywords

patient-prosthesis mismatch - interrupted aortic arch - Ross procedure - aortic stenosis - mitral insufficiency

Classifications

Aortic root replacement, aortic valve repair, aortic root, aortic operation, and aortic arch.


 

  • References

  • 1 Schreiber C, Eicken A, Vogt M. , et al. Repair of interrupted aortic arch: results after more than 20 years. Ann Thorac Surg 2000; 70 (06) 1896-1899 , discussion 1899–1900
    CrossrefPubMedSearch in Google Scholar
  • 2 Ho SY, Baker EJ, Rigby ML, Anderson RH. Aortic coarctation and interruption. Color Atlas of Congenital Heart Disease. Morphologic and Clinical Correlations. London, UK: Mosby-Wolfe; 1995: 171-178
    Search in Google Scholar
  • 3 Schumacher G, Schreiber R, Meisner H, Lorenz HP, Sebening F, Bühlmeyer K. Interrupted aortic arch: natural history and operative results. Pediatr Cardiol 1986; 7 (02) 89-93
    CrossrefPubMedSearch in Google Scholar
  • 4 Dische MR, Tsai M, Baltaxe HA. Solitary interruption of the arch of the aorta. Clinicopathologic review of eight cases. Am J Cardiol 1975; 35 (02) 271-277
    CrossrefPubMedSearch in Google Scholar
  • 5 Gordon EA, Person T, Kavarana M, Ikonomidis JS. Interrupted aortic arch in the adult. J Card Surg 2011; 26 (04) 405-409
    CrossrefPubMedSearch in Google Scholar