September 1, 20151 citations

Calcific degeneration and rupture of the aortic valve and ascending aorta: from cardiac auscultation to multimodality imaging.

DSDavide StolfoHeart Failure / Cardiomyopathy PGPasquale GianfagnaOspedale Santa Maria della Misericordia di Udine EFEnrico FabrisInterventional / Structural Cardiology

Structured PICO

Population

A 76-year-old Caucasian woman with dyspnea, cough, history of well-controlled arterial hypertension, and permanent atrial fibrillation on oral anticoagulant therapy.

Intervention

Cardiac surgery including resection of the aortic wall and replacement with a 30 mm intervascular graft, and aortic valve replacement with a Hancock II 25 mm bioprosthesis.

This case highlights a rare association between spontaneous aortic pseudoaneurysm and aortic cusp rupture, emphasizing the role of multimodality imaging in diagnosing complex degenerative atherosclerotic complications.

Abstract

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