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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Format: | Article |
Language: | English |
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PAGEPress Publications
2024-03-01
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Series: | Monaldi Archives for Chest Disease |
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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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first_indexed | 2024-04-24T22:43:02Z |
format | Article |
id | doaj.art-d1fac4000cb04cddaa157e9286373dbc |
institution | Directory Open Access Journal |
issn | 1122-0643 2532-5264 |
language | English |
last_indexed | 2024-04-24T22:43:02Z |
publishDate | 2024-03-01 |
publisher | PAGEPress Publications |
record_format | Article |
series | Monaldi Archives for Chest Disease |
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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