Title of article :
Second and larger than normal aortic annulus triple aortic annulus in a patient with ascending aortic aneurysm and bicuspid aorta
Author/Authors :
Kahraman, Fatih Department of Cardiology - Kütahya Evliya Çelebi Training and Research Hospital - Kütahya - Turkey , Akgül, Engin Department of Cardiovascular Surgery - Kütahya Evliya Çelebi Training and Research Hospital - Kütahya - Turkey , Gürbüzer, Taha Department of Cardiology - Simav Doç. Dr. İsmail Karakuyu State Hospital - Kütahya - Turkey , Ihsan Parlar,Ali Department of Cardiovascular Surgery - Kütahya Evliya Çelebi Training and Research Hospital - Kütahya - Turkey
Abstract :
Ascending aortic aneurysm is the most common type of thoracic aortic aneurysm, and it may be accompanied with aortic
regurgitation, coarctation, bicuspid aortic valve, or coronary
anomaly. Because of structural variations, anatomic locations of
aortic structures like coronary arteries may dislocate or some
additional morphological changes may be seen. In this report, we
present the case of a 69-year-old male patient admitted to a cardiology clinic with the diagnosis of ascending aortic aneurysm.
Patient presented to a cardiology outpatient clinic where he was
evaluated with transthoracic echocardiography, and the ascending aorta was measured to be 65 mm in parasternal long-axis
view. He had moderate aortic regurgitation, and ejection fraction
(EF) was found to be 60%. He was referred to a tertiary center
for coronary angiography and aortic surgery. Coronary angiography was performed by puncturing the right femoral artery. Due
to aneurysmatic dilatation and anatomic challenges, selective
coronary imaging could not have done very successfully. In every
effort to reach the left and right coronary ostia, different types
of diagnostic and guiding catheters (judkins, extra backup, amplatz left etc.) were restrained by an anatomic structure that is
located in the distal portion of the aortic root.
Keywords :
ascending aortic aneurysm , aortic annulus , bicuspid aorta
Journal title :
The Anatolian Journal of Cardiology: Andolu Kardiyoloji Dergisi