학술논문
Late Post-Dissection Dynamic Intermittent Malperfusion of the Aortic Arch in Association with a Rare Heterogenous LOX Gene Variation.
Document Type
Case Study
Author
Source
Subject
*THORACIC aorta
*ASCENDING aorta dissection
*ASCENDING aorta aneurysms
*AORTIC dissection
*BRACHIOCEPHALIC trunk
*ABDOMINAL pain
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Language
ISSN
2077-0383
Abstract
Late ischaemic consequences of type A aortic dissection are rare. We present a 6-year late complication of type A aortic dissection treated by Bentall surgery in a 41-year-old patient. The patient presented with several episodes of lipothymia associated with hypertensive attacks with anisotension, cervicalgia, hemicranial headache, abdominal pain and lower limb slipping initially on exertion and later at rest. On dynamic examination, we diagnosed an intermittent dynamic occlusion of the aortic arch and rare LOX gene variation, which is considered to be associated with aneurysm or dissection of the ascending aorta in young patients. Surgical treatment by replacement of the ascending aorta and the aortic arch with reimplantation of the brachiocephalic trunk (BcTr) allowed the symptoms to resolve. [ABSTRACT FROM AUTHOR]