A rare cause of recurrent aortic dissection

Journal of the Saudi Heart Association

Vishal Gupta¹  Yashwant Agrawal² 

[1] Department of Cardiology, Michigan State University/Borgess Medical Center, Kalamazoo, MI, USA;Department of Internal Medicine/Pediatrics, Western Michigan University Homer Stryker School of Medicine, Kalamazoo, MI, USA;

关键词: Aortic aneurysm;    Aortic dissection;    Aortic root replacement;    Loeys–Dietz syndrome;   

DOI  :  10.1016/j.jsha.2015.11.005

来源: DOAJ

【 摘 要 】

We report the case of a 19-year-old man with a history of Loeys–Dietz syndrome (LDS), which was diagnosed when he had a Stanford type A aortic dissection. He also had multiple aneurysms including ones in the innominate, right common carotid, and right internal mammary arteries. He had had multiple procedures including Bentall’s procedure, repeat sternotomy with complete arch and valve replacement, and coil embolization of internal mammary artery aneurysm in the past. His LDS was characterized by gene mutation for transforming growth factor-β receptor 1. He presented to our facility with sudden onset of back pain, radiating to the right shoulder and chest. He was diagnosed with Stanford type B aortic dissection and underwent thoracic aorta endovascular repair for his aortic dissection. This case represents the broad spectrum of pathology associated with LDS where even with regular surveillance and aggressive medical management the patient developed Stanford B aortic dissection.

【 授权许可】

Unknown