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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Quadricuspid Aortic Valvulopathy and Acute Type A Aortic Dissection.
Sheila L Klassen1, Stuart J Hutchison1
1Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Alberta, Canada.
Aorta (Stamford, Conn.)
|October 17, 2019
Summary
This case report highlights a potential link between quadricuspid aortic valves and aortic dissection. The study found this rare valve anomaly in a patient with acute Type A aortic dissection and aortic root dilation.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Case Reports
Background:
- Quadricuspid aortic valves are rare congenital anomalies.
- Aortic root dilation is a known complication associated with quadricuspid aortic valves.
- Bicuspid aortic valves are established risk factors for aortic dissection.
Purpose of the Study:
- To report a case of acute Type A aortic dissection in a patient with a quadricuspid aortic valve.
- To explore the potential association between quadricuspid aortic valves and aortic dissection.
Main Methods:
- Case report of a 55-year-old male presenting with acute Type A aortic dissection.
- Intraoperative transesophageal echocardiography to identify aortic valve morphology.
- Surgical repair of aortic dissection.
Main Results:
- The patient presented with acute Type A aortic dissection.
- Intraoperative findings revealed a quadricuspid aortic valve.
- Aortic root measured 45 mm, indicating dilation.
- The patient underwent successful surgical repair.
Conclusions:
- This case suggests a possible association between quadricuspid aortic valves and aortic dissection.
- Further research is warranted to confirm this association, similar to bicuspid aortic valves.
- Quadricuspid aortic valves may be an underrecognized risk factor for aortic dissection.
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