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CC BY-NC-ND 4.0 · Aorta (Stamford) 2024; 12(02): 041-043
DOI: 10.1055/s-0044-1801294
Case Report

Dieulafoy's Lesion: A Rare Cause of Gastrointestinal Bleeding after Interrupted Aortic Arch Repair in an Adult

Charlene Tennyson 
1   Department of Cardiac Surgery, Wythenshawe Hospital, Manchester, United Kingdom
,
Abiodun Adigun
1   Department of Cardiac Surgery, Wythenshawe Hospital, Manchester, United Kingdom
,
Jonathan Ghosh
2   Department of Vascular Surgery, Manchester Royal Infirmary, Manchester, United Kingdom
,
Isaac Kadir
1   Department of Cardiac Surgery, Wythenshawe Hospital, Manchester, United Kingdom
,
Ioannis Dimarakis
1   Department of Cardiac Surgery, Wythenshawe Hospital, Manchester, United Kingdom
2   Department of Vascular Surgery, Manchester Royal Infirmary, Manchester, United Kingdom
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Abstract

Survival into adulthood in patients with an interrupted aortic arch (IAA) is exceedingly rare. A recent literature review found 25 reported cases of IAA in adults. We describe the first case of prolonged, occult, postoperative gastrointestinal bleeding as a major complication following IAA surgery. We discuss the management of a 51-year-old man who underwent repair of an IAA, aortic valve replacement, and replacement of the ascending aorta for a known aortic aneurysm.

Keywords

interrupted aortic arch - gastrointestinal - bicuspid aortic valve


Publication History

Received: 14 February 2023

Accepted: 16 July 2024

Article published online:
24 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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