Acute type A aortic dissection in a patient with ventricular septal defect期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Acute type A aortic dissection in a patient with ventricular septal defect

Authors:	Mehmet Gungor Kaya Ertugrul Mavili Orhan Dogdu Ali Dogan Tugrul Inanc Ali Baykan

Affiliation:	1. Department of Cardiology, Erciyes University School of Medicine, Kayseri, Turkey;2. Department of Radiology, Erciyes University School of Medicine, Kayseri, Turkey;3. Department of Pediatric Cardiology, Erciyes University School of Medicine, Kayseri, Turkey;1. Kahramanmaras Sutcu Imam University, Medical Faculty, Department of Forensic Medicine, Kahramanmaras, Turkey;2. Council of Forensic Medicine, Kahramanmaras Branch, Kahramanmaras, Turkey;3. Mustafa Kemal University, Medical Faculty, Department of Forensic Medicine, Hatay, Turkey;4. Council of Forensic Medicine, Adana Group Administration, Adana, Turkey;1. Department of Food and Nutrition, Chonnam National University, Gwangju, Korea;2. Human Ecology Research Institute, Chonnam National University, Gwangju, Korea;3. Department of Food and Nutrition and Research Institute of Obesity Sciences, Sungshin Women’s University, Seoul, Korea;4. Department of Family Medicine, School of Medicine, Ulsan University Asan Hospital, Seoul, Korea;5. Department of Family Medicine, School of Medicine, Korea University Guro Hospital, Seoul, Korea;6. Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea;7. Department of Food and Nutrition, Kyung Hee University, Seoul, Korea;1. National Research Institute of Police Science, Chiba 277-0822, Japan;2. Technical Research Laboratory, Toyo Kohan Co., Ltd., Yamaguchi 744-8611, Japan;3. Department of Legal Medicine, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan;4. Department of Legal Medicine, Kyoto Prefectural University of Medicine, Kyoto 602-8566, Japan;1. Department of Legal Medicine, Asahikawa Medical University, 2-1-1-1 Midorigaoka-higashi, Asahikawa 078-8510, Japan;2. Oral and Maxillofacial Surgery, Asahikawa Medical University, 2-1-1-1 Midorigaoka-higashi, Asahikawa 078-8510, Japan;3. Department of Pharmacy, Kyoto University Hospital, Sakyo-ku, Kyoto 606-8507, Japan;4. Department of Legal Medicine, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan

Abstract:	We report the case of a 38-year-old man with a long-standing history of a small ventricular septal defect presented with chest pain. Electrocardiography revealed sinus rhythm, ST-segment elevation in leads V1–6. The chest X-ray showed mild cardiomegaly. He underwent cardiac catheterisation laboratory to primary coronary angioplasty. Coronary angiography showed normal coronary arteries. Aortic root angiography revealed type A aortic dissection. Transthoracic and transesophageal echocardiography showed aortic dissection in ascending aorta and a perimembranous ventricular septal defect. Thoracoabdominal CT angiography confirmed the aortic dissection before the surgery.The patient underwent cardiac surgery immediately. The ventricular septal defect and aortic dissection were repaired successfully. The postoperative recovery was uneventful and he has thus far remained asymptomatic at 6 months' follow-up.

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