engleski

Dehiscencija kompozitnog grafta uzlazne aorte kao odgođena komplikacija tupe povrede prsnog koša

A 65-year old man with bileaflet mechanical aortic prosthesis and a Dacron tubular aortic graft was admitted at the Department of Neurology due to transient ischemic attack. Seven months before admission, he had suffered a car accident with blunt thoracic trauma. A chest X-ray and transthoracic echocardiogram performed at the time of the accident reported no abnormalities. At admission, he was presented as a asymptomatic, hemodynamically stable patient. However, echocardiography showed dehiscence of the valved aortic conduit from the native aortic annulus at the proximal anastomosis site, and free communication between the left ventricular outflow tract and the periconduit cavity. The patient was referred to a cardiac surgeon. Unfortunately, he experienced sudden death before the scheduled operation. Our case suggests that, because of delayed development of pseudoaneurysm and conduit dehiscence, echocardiography follow-up is recommended in patients after Bentall reconstruction within several months after the blunt chest trauma.

aorta ; valved aortic conduit ; dehiscence ; echocardiography ; chest, blunt trauma

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