Unusual cause of heart failure in a patient with marfan syndrome: A late complication of bioprosthetic valved graft replacement

Prerna B. Bansal, Hari P. Chaliki, Kantha R. Kolla, Roger L. Click, Alberto Pochettino

Research output: Contribution to journalArticle

Abstract

A high-velocity gradient across the left ventricular outflow tract is most often caused by aortic valve stenosis. We describe the unusual case of a high-velocity gradient caused by a kinked ascending aortic graft in a 69-year-old man who had Marfan syndrome. The patient had a history of ascending aortic aneurysm and had previously undergone replacement of the aortic root and ascending aorta with use of a bioprosthetic valved graft. The kinking was caused by dilation of the native aortic arch. The patient underwent successful hemiarch replacement and repair of the kinked graft. Late complications and reoperation after proximal aortic surgery in patients with Marfan syndrome are rare, and a high-velocity left ventricular outflow tract gradient caused by the kinking of the aorta is unusual. (Tex Heart Inst J 2020;47(1):38-40).

Original languageEnglish (US)
Pages (from-to)38-40
Number of pages3
JournalTexas Heart Institute Journal
Volume47
Issue number1
DOIs
StatePublished - Feb 2020

Keywords

  • Aortic diseases/ pathology
  • Doppler/methods
  • Echocardiography
  • Heart failure/etiology
  • Marfan syndrome/complications
  • Reoperation
  • Treatment outcome
  • Ventricular outflow obstruction/diagnostic imaging/ etiology/physiopathology

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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