Document Detail


Aorto-atrial fistula 10 days after dissection repair in giant cell arteritis.
MedLine Citation:
PMID:  19049773     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Fadia Haddad; Issam El-Rassi; Fadi G Haddad; Rita Nemnoum; Victor A Jebara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  86     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-12-03     Completed Date:  2009-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1672-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology and Intensive Care, Hotel Dieu de France Hospital, Beirut, Lebanon. fflhlb@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Dissecting / complications,  surgery
Aortic Aneurysm / complications,  surgery
Aortic Diseases / diagnosis,  etiology*,  surgery
Aortic Valve / surgery
Bioprosthesis / adverse effects*
Cardiac Surgical Procedures / adverse effects*
Giant Cell Arteritis / complications,  surgery*
Heart Atria
Heart Diseases / diagnosis,  etiology*,  surgery
Heart Valve Prosthesis / adverse effects*
Humans
Male
Reoperation
Sinus of Valsalva / surgery
Vascular Fistula / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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