Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy

We report the case of an incidental finding of a huge aneurysm of the ascending aorta with a congenital bicuspid aortic valve type 0-lateral. This severe condition was totally unknown to the patient, who was asymptomatic for cardiovascular disease. The aneurysmal mass involved the entire mediastinu...

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Main Authors: Maria Grazia Romeo, Emanuele Pilato, Raffaele Giordano, Giuseppe Comentale, Gabriele Iannelli, Domenico Romeo, Bruna Miserrafiti, Luigi Di Tommaso
Format: Article
Language:English
Published: PAGEPress Publications 2024-03-01
Series:Monaldi Archives for Chest Disease
Subjects:
Online Access:https://www.monaldi-archives.org/macd/article/view/2936
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author Maria Grazia Romeo
Emanuele Pilato
Raffaele Giordano
Giuseppe Comentale
Gabriele Iannelli
Domenico Romeo
Bruna Miserrafiti
Luigi Di Tommaso
author_facet Maria Grazia Romeo
Emanuele Pilato
Raffaele Giordano
Giuseppe Comentale
Gabriele Iannelli
Domenico Romeo
Bruna Miserrafiti
Luigi Di Tommaso
author_sort Maria Grazia Romeo
collection DOAJ
description We report the case of an incidental finding of a huge aneurysm of the ascending aorta with a congenital bicuspid aortic valve type 0-lateral. This severe condition was totally unknown to the patient, who was asymptomatic for cardiovascular disease. The aneurysmal mass involved the entire mediastinum, altering the normal anatomical relations, so the operative strategy was modified intraoperatively, tailoring the surgical technique to the anatomical conditions found. Despite a delayed awakening, the patient had an uncomplicated postoperative course. Therefore, this case highlights the importance of not underestimating nonspecific, seemingly harmless symptoms and signs that may reveal potentially catastrophic pathologies, while also focusing on the surgical technique used. The modified Cabrol procedure, while an underutilized technique, if present in the cardiac surgeon's "arsenal," can represent a life-saving strategy in complex cases requiring an aortic valve and ascending aorta replacement.
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spelling doaj.art-d1fac4000cb04cddaa157e9286373dbc2024-03-18T20:19:29ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642024-03-0110.4081/monaldi.2024.2936Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathyMaria Grazia Romeo0Emanuele Pilato1Raffaele Giordano2Giuseppe Comentale3Gabriele Iannelli4Domenico Romeo5Bruna Miserrafiti6Luigi Di Tommaso7Department of Advanced Biomedical Sciences, Cardiac Surgery, University “Federico II”, NaplesDepartment of Advanced Biomedical Sciences, Cardiac Surgery, University “Federico II”, NaplesDepartment of Advanced Biomedical Sciences, Cardiac Surgery, University “Federico II”, NaplesDepartment of Advanced Biomedical Sciences, Cardiac Surgery, University “Federico II”, NaplesDepartment of Advanced Biomedical Sciences, Cardiac Surgery, University “Federico II”, NaplesDepartment of Biomedical Sciences and Morphologic and Functional Imaging, University of MessinaDivision of Cardiology, Tiberio Evoli Hospital, Melito Porto SalvoDepartment of Advanced Biomedical Sciences, Cardiac Surgery, University “Federico II”, Naples We report the case of an incidental finding of a huge aneurysm of the ascending aorta with a congenital bicuspid aortic valve type 0-lateral. This severe condition was totally unknown to the patient, who was asymptomatic for cardiovascular disease. The aneurysmal mass involved the entire mediastinum, altering the normal anatomical relations, so the operative strategy was modified intraoperatively, tailoring the surgical technique to the anatomical conditions found. Despite a delayed awakening, the patient had an uncomplicated postoperative course. Therefore, this case highlights the importance of not underestimating nonspecific, seemingly harmless symptoms and signs that may reveal potentially catastrophic pathologies, while also focusing on the surgical technique used. The modified Cabrol procedure, while an underutilized technique, if present in the cardiac surgeon's "arsenal," can represent a life-saving strategy in complex cases requiring an aortic valve and ascending aorta replacement. https://www.monaldi-archives.org/macd/article/view/2936Ascending aortagiant aneurysmbicuspid aortopathymodified-Cabrol techniquecardiac-surgery
spellingShingle Maria Grazia Romeo
Emanuele Pilato
Raffaele Giordano
Giuseppe Comentale
Gabriele Iannelli
Domenico Romeo
Bruna Miserrafiti
Luigi Di Tommaso
Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy
Monaldi Archives for Chest Disease
Ascending aorta
giant aneurysm
bicuspid aortopathy
modified-Cabrol technique
cardiac-surgery
title Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy
title_full Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy
title_fullStr Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy
title_full_unstemmed Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy
title_short Asymptomatic giant ascending aortic aneurysm: a challenging surgical strategy for a silent bicuspid aortopathy
title_sort asymptomatic giant ascending aortic aneurysm a challenging surgical strategy for a silent bicuspid aortopathy
topic Ascending aorta
giant aneurysm
bicuspid aortopathy
modified-Cabrol technique
cardiac-surgery
url https://www.monaldi-archives.org/macd/article/view/2936
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