Incidental Finding of Subacute DeBakey Type II Aortic Dissection with Circular Intimal Tear in a Patient with Severe Aortic Insufficiency During the COVID-19 Pandemic
Keywords:
dissecting aneurysm of aorta, SARS-CoV-2, bicuspid aortic valve disease, aortic valve insufficiency, aortic aneurysm, case report
Abstract
We present a case of severe aortic insufficiency diagnosed in the pandemic period with the surgery being postponed due to hygiene concerns and suspicion of COVID-19. One month later the patient’s complaints worsened. Renewed preoperative examinations revealed no difference and no sign of dissection. The suspicion of COVID-19 was eliminated, so immediate aortic valve surgery was performed despite the pandemic. Surprisingly subacute DeBakey type II aortic dissection with complete circular intimal tear came across intraoperatively. Thus, the modified Cabrol procedure was performed successfully. The diagnosis of aortic dissection may be missed, and this rate may increase in natural disasters such as pandemics and earthquakes.
References
- Erdil N, Gedik E, Erdil F, Nisanoğlu V, Battaloğlu B, Ersoy Ö. Early results of surgery for acute type A aortic dissection without using neurocerebral monitoring. Turk Gogus Kalp Damar Cerrahisi Derg. 2010;18(4):259-263.
- Lyon A, Gunga Z, Niclauss L, Rancati V, Tozzi P. Case Report: Are We Witnessing an Increase of Chronic Ascending Aortic Dissection as a Collateral Effect to the COVID-19 Pandemic? Front Cardiovasc Med. 2021;8:645135. https://doi.org/10.3389/fcvm.2021.645135
- 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/ SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease Representative Members; Hiratzka LF, Creager MA, Isselbacher EM, Svensson LG; 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease Representative Members; Nishimura RA, Bonow RO, Guyton RA, Sundt TM 3rd. Surgery for aortic dilatation in patients with bicuspid aortic valves: A statement of clarification from the American College of Cardiology/ American Heart Association Task Force on Clinical Practice Guidelines. J Thorac Cardiovasc Surg. 2016;151(4):959-966. https://doi.org/10.1016/j.jtcvs.2015.12.001
- Patel NN, Kurnick A, Bukharovich I. Atypical Presentation of a Type A Aortic Dissection in a Patient With an Undiagnosed Genetic Predisposition. Cureus. 2024;16(3):e56394. https://doi.org/10.7759/cureus.56394
- Borger MA, Preston M, Ivanov J, Fedak PW, Davierwala P, Armstrong S, et al. Should the ascending aorta be replaced more frequently in patients with bicuspid aortic valve disease? J Thorac Cardiovasc Surg. 2004;128(5):677-683. https://doi.org/10.1016/j.jtcvs.2004.07.009
- Ramandi A, Akbarzadeh MA, Khaheshi I, Khalilian MR. Aortic dissection and Covid-19; a comprehensive systematic review. Curr Probl Cardiol. 2023;48(6):101129. https://doi.org/10.1016/j.cpcardiol.2022.101129
Published
2024-09-27
How to Cite
Akça, B., Doğan, M., & Erdil, N. (2024). Incidental Finding of Subacute DeBakey Type II Aortic Dissection with Circular Intimal Tear in a Patient with Severe Aortic Insufficiency During the COVID-19 Pandemic. Ukrainian Journal of Cardiovascular Surgery, 32(3), 85-88. https://doi.org/10.30702/ujcvs/24.32(03)/AD041-8588
Section
CASE REPORT