Dissected saccular aneurysm of the ascending aorta after percutaneous coronary intervention: A case report.

ABSTRACT:

Introduction

and importance: Dissected saccular aneurysm of the ascending aorta is an extremely rare clinical entity. It has a greater risk for rupture due to its different histological structure compared to other forms of aneurysms; hence, it mandates urgent management.

Case presentation

A 64-year-old retired pilot was referred to our hospital complaining of vague chest pain along with numbness in his upper limbs, Chest X-ray showed widening of the upper mediastinum, and transesophageal echocardiography showed a dilated ascending aorta measuring 7.5 cm.

Clinical discussion

Transesophageal echocardiography and CT angiography confirmed the presence of a dissected saccular aneurysm in the ascending aorta, along with a dissection of the aorta that spanned the area between the dissected saccular aneurysm and the root of the innominate artery. As a surgical management, the ascending aorta was replaced with Dacron graft, the postoperative period was uneventful.

Conclusion

We report this case to highlight that surgical repair should be offered immediately when a dissected saccular aneurysm is diagnosed.

SUBMITTER: Hannoun I 

PROVIDER: S-EPMC7905340 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature