Ascending Aortic Aneurysm and Dissection Secondary to Bicuspid Aortic Valve with Concomitant Coarctation of Descending Aorta Successfully Repaired with Extracorporeal Membrane Oxygenation Support: A Case Report

作     者：Qin Jiang Juan Du Tao Yu Xiaobo Huang Mingliang Zuo Keli Huang Qin Jiang;Juan Du;Tao Yu;Xiaobo Huang;Mingliang Zuo;Keli Huang

作者机构：Department of Cardiac SurgerySichuan Provincial People’s HospitalAffiliated Hospital of University of Electronic Science and TechnologyChengduSichuan 610072China Department of Operating RoomSichuan Provincia People’s HospitalAffiliated Hospital of University of Electronic Science and TechnologyChengduSichuan 610072China Department of Surgical Intensive Care UnitSichuan Provincia People’s HospitalAffiliated Hospital of University of Electronic Science and TechnologyChengduSichuan 610072China Department of Medica UltrasonicsSichuan Provincia People’s HosptalAffiliated Hospital of University of Electronic Science and TechnologyChengduSichuan 610072China 

出 版 物：《Cardiology Discovery》 (心血管病探索（英文）)

年 卷 期：2022年第2卷第2期

页      面：124-126页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：supported by the National Natural Science and Technology Foundation of China(81800274 to QJ) Sichuan Science and Technology Program(2021JDJQ0041 to QJ) Grant for Clinical Translation Research of Sichuan Provincial People’s Hospital(2017LY07 to QJ) 

主　　题：Aortic aneurysm Dissection Bicuspid aortic valve Case report Coarctation of the aorta Extracorporeal membrane oxygenation 

摘      要：Type A aortic aneurysm and dissection secondary to bicuspid aortic valve(BAV)with untreated coarctation of the aorta(CoA)in adults is a rare finding because there are almost no“abnormalitiesin these patients’medical ***,we report on a 47-year-old man with unexplained weakness followed by *** was diagnosed with cardiogenic shock and underwent venoarterial extracorporeal membrane oxygenation(VA-ECMO).BAV,ascending aortic aneurysm and dissection(based on bedside echocardiography)and concomitant CoA(based on computed tomography angiography)were *** patient then underwent emergency surgery including aortic root replacement with a composite mechanical valve conduit,additional ascending-to-descending aortic bypass,and coronary artery bypass grafting with a saphenous vein graft to the right coronary *** treatment,he recovered ***,here we present a case involving a patient in a critical condition with ascending aortic aneurysm and dissection secondary to complex congenital heart defects,who was successfully treated with composite surgical procedures combined with life-saving VA-ECMO.