A 64-year-old male patient who presented with symptoms indicative of hemolytic anemia was referred to our hospital. After obtaining the patient’s history, it found that hemolysis occurred 14 years after he underwent ascending aortic replacement for acute type dissection. Enhanced computed tomography revealed an pseudoaneurysm at proximal anastomosis, which thought be cause hemolysis. Furthermor...

introduction aortic surgery has made much progress recently. yet the combination of aortic surgery and coronary artery bypass grafting has remained a major issue for the surgeons. patient and observation herein, we present a case of severe aortic insufficiency with aortic aneurysm concomitant with single coronary artery disease on the right coronary artery. the patient underwent bentall procedu...

A 26-yr-old male patient reported worsened dyspnea, dizziness one year after an emergency Bentall operation for type A aortic dissection. There was evidence of hemolytic anemia and aortogram revealed a significant stenosis at the distal anastomosis site. During the reoperation, we found the inner felt at the distal anastomosis was inverted causing a significant stenosis. The reoperation success...

Methods Replacement of ascending aorta and aortic valve from 2009 till 2013 was performed in 194 patients (18; 9,3% redo) with pathology of the aortic root. In 19 cases BioValsalva conduit was used (9,3%); in 15 pts (7,7%) allografts and in 6 (3,1%) stentless bioprosthesis were used with “full-root” technique; vascular graft conduits containing stented bioprosthesis in 16 pts (8,2%) or differen...

INTRODUCTION Atherosclerotic coronary artery thrombosis is the most common cause of acute myocardial infarction. CLINICAL PICTURE A 30-year-old lady presented with acute peripartum massive anterior ST segment myocardial infarction and cardiogenic shock. This was due to acute Stanford type A aortic dissection with the intimal flap occluding the left coronary ostium. The initial diagnosis was n...