Subtle Aortic Dissection in a Patient with Severe Aortic Regurgitation
and Undiagnosed Bicuspid Aortic Valve: Case Report with a Literature
Review
- Davorin Sef,
- Stewart Brown,
- Omar Jarral,
- Azhar Hussain,
- Elizabeth Haslam,
- Cha Rajakaruna,
- Christopher McAloon
Abstract
A subtle aortic dissection can be challenging to detect despite the
availability of multiple diagnostic modalities. Whilst rare, the
inability to detect this variant of aortic dissection can lead to a
dismal prognosis. We present an extremely rare case of a subtle aortic
dissection with supraannular aortic root intimal tear and acute severe
aortic regurgitation in a patient with a bicuspid aortic valve. Initial
concerns were either aortic dissection or infective endocarditis.
Despite advanced multimodality preoperative imaging, diagnosis was made
intraoperatively and a Bentall procedure with a mechanical aortic valve
was performed. As current data is limited, a literature review
concerning subtle aortic dissection is provided.11 Apr 2021Submitted to Journal of Cardiac Surgery 12 Apr 2021Submission Checks Completed
12 Apr 2021Assigned to Editor
12 Apr 2021Reviewer(s) Assigned
13 May 2021Review(s) Completed, Editorial Evaluation Pending
17 May 2021Editorial Decision: Revise Minor
18 May 20211st Revision Received
18 May 2021Submission Checks Completed
18 May 2021Assigned to Editor
18 May 2021Reviewer(s) Assigned
25 May 2021Review(s) Completed, Editorial Evaluation Pending
26 May 2021Editorial Decision: Accept
Sep 2021Published in Journal of Cardiac Surgery volume 36 issue 9 on pages 3417-3420. 10.1111/jocs.15714