RESUMO
Aortic valve replacement, ascending aorta replacement and coronary artery bypass grafting were performed in a 61-year-old woman with aortic stenosis, ascending aortic aneurysm, and angina pectoris. However, immediately after surgery, transient hypotension and pulmonary hypertension repeated every few beats.Transesophageal echocardiography revealed a stuck valve, and reimplantation was carried out. The patient's postoperative course was uneventful. We present a case of successful treatment of valve dysfunction immediately after valve replacement.
Assuntos
Insuficiência da Valva Aórtica/etiologia , Valva Aórtica/cirurgia , Valva Aórtica/diagnóstico por imagem , Insuficiência da Valva Aórtica/diagnóstico por imagem , Ecocardiografia Transesofagiana , Feminino , Próteses Valvulares Cardíacas , Humanos , Pessoa de Meia-IdadeRESUMO
Coronary aneurysms in adults are rare. The natural history of such coronary aneurysms is unknown. Surgical treatment is often concomitant with the treatment of obstructive coronary lesions. However, the ideal treatment strategy is poorly defined. We herein present a case of successful treatment of a large coronary artery aneurysm with interposition of a reverse saphenous vein graft. This modality offers important benefits over other currently used surgical and percutaneous techniques, and should be considered as an effective option.