Aorto-atrial fistula 10 days after dissection repair in giant cell arteritis.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 19049773.
- Also identified by DOI 10.1016/j.athoracsur.2008.04.095.
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Abstract
Active aortitis caused by giant cell arteritis occurs more commonly than has been previously appreciated, and ascending aortic dissection may occur despite medical therapy, without a preexisting aneurysm or ectasia. We report a case of acute type A aortic dissection in a patient already treated for giant cell arteritis. The aortic root was left intact during the initial surgery, but was completely removed 10 days later after an early postoperative aorto-atrial fistula. Complete removal of the aortic root (Bentall procedure) has been advocated in these patients to prevent late additional aortic complications.
Medical subject headings
- Aortic Diseases
- Bioprosthesis
- Cardiac Surgical Procedures
- Giant Cell Arteritis
- Heart Diseases
- Heart Valve Prosthesis
- Vascular Fistula