Medica Jadertina, Vol. 42 No. 1-2, 2012.
Stručni rad
Dehiscence of a valved aortic conduit as a delayed complication of the blunt chest trauma
Dražen Zekanović
; General Hospital Zadar,
Vedran Carević
; University Hospital Centre Split, Division of Cardiology
Krešimir Čaljkušić
; University Hospital Centre Split, Division of Neurology
Tonči Batinić
; University Hospital Centre Split, Division of Radiology
Zorislav Šušak
; General Hospital Zadar, Division of Cardiology, Zadar
Damir Fabijanić
orcid.org/0000-0002-4199-3905
; Sveučilišni bolnički centar Split, Odjel kardiologije
Robert Karlo
; Opća bolnica Zadar, Odjel kirurgije
Sažetak
A 65-year old man with bileaflet mechanical aortic prosthesis and a Dacron tubular aortic graft was admitted at the Department of Neurology due to transient ischemic attack. Seven months before admission, he had suffered a car accident with blunt thoracic trauma. A chest X-ray and transthoracic echocardiogram performed at the time of the accident reported no abnormalities. At admission, he was presented as a asymptomatic, hemodynamically stable patient. However, echocardiography showed dehiscence of the valved aortic conduit from the native aortic annulus at the proximal anastomosis site, and free communication between the left ventricular outflow tract and the periconduit cavity. The patient was referred to a cardiac surgeon.
Unfortunately, he experienced sudden death before the scheduled operation. Our case suggests that, because of delayed development of pseudoaneurysm and conduit dehiscence, echocardiography follow-up is recommended in patients after Bentall reconstruction within several months after the blunt chest trauma.
Ključne riječi
aorta; valved aortic conduit; dehiscence; echocardiography; chest; blunt trauma
Hrčak ID:
83891
URI
Datum izdavanja:
4.6.2012.
Posjeta: 1.382 *