Korean Circ J.  2012 Jun;42(6):437-440. 10.4070/kcj.2012.42.6.437.

Newly Developed Aortic Dissection After Aorta Cannulation During Mitral Valve Surgery in a Patient With Marfan Syndrome

• Moon J
• Shin MS
• Lee HJ
• Chung WJ
• Park CH
• Park KY

• KMID: 1433867
• DOI: http://doi.org/10.4070/kcj.2012.42.6.437

Abstract

We report a case of newly developed aortic dissection after aorta cannulation during mitral valve surgery in a patient with Marfan syndrome. An unexpected fatal complication of cardiac surgery detected on postoperative imaging survey in Marfan syndrome patient and its surgical finding are described.

Keyword

Marfan syndrome; Complications; Echocardiography; Operations

MeSH Terms

Aorta
Catheterization
Echocardiography
Humans
Marfan Syndrome
Mitral Valve
Thoracic Surgery

Figure

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  Fig. 1 Marfanoid feature of the patient (A, B and C). Mitral valve prolapse (arrow, D) and anteriorly directed severe eccentric mitral regurgitation (E) on pre-operative transesophageal echocardiography.

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  Fig. 2 There was no evidence of aortic dissection on pre-operative echocardiography (A) and newly developed dissecting flap on echocardiography performed after surgery (arrow, B). There was also no evidence of significant aortic disease on pre-operative computed tomography (C) and newly developed aortic dissection (Stanford type A) after the operation (arrows, D).

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  Fig. 3 Dissecting flap and entry site of aortic dissection at previous cannulation site at the ascending aorta (arrow, A), which was treated using the Bentall procedure (B).

Reference

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