RESUMO

We report a very rare case of ascending aortic replacement complicated by acute supravalvular aortic stenosis. A 53-year-old man was referred to our Institution for evaluation of a systolic murmur and congestive heart failure. He had undergone elective ascending aortic replacement one month previously due to acute type A aortic dissection. On admission, transesophageal echocardiography revealed a proximal leak with a pseudoaneurysm compressing the aortic graft and generating a systolic gradient of 84 mmHg. The patient underwent reoperation, the graft was removed and a new Dacron graft was put in place.

Assuntos

Aorta/patologia , Dissecção Aórtica/cirurgia , Estenose da Valva Aórtica/diagnóstico por imagem , Sobrevivência de Enxerto , Doença Aguda , Aorta/cirurgia , Estenose da Valva Aórtica/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Ultrassonografia