Abstract

A 49-year-old woman with four months of increasing episodic palpitations, chest pain, and shortness of breath presented to an outside clinic where a new 4/6 systolic ejection murmur was identified. A transthoracic echocardiogram revealed a large aortic root aneurysm. The patient underwent emergent repair of the dissected root aneurysm with a modified Bentall procedure utilizing a #19 St Jude Valsalva mechanical valve conduit. Postoperatively, she required a permanent pacemaker placement. Her echo showed ejection fraction improvement from a preoperative 25% to a postoperative 35%. She was discharged home on postoperative day 7.

Highlights

  • A 49-year-old woman with four months of increasing episodic palpitations, chest pain, and shortness of breath presented to an outside clinic where a new 4/6 systolic ejection murmur was identified

  • She was evaluated with a transthoracic echocardiogram which revealed a large aortic root aneurysm

  • Pathology showed an intimal tear at the noncoronary sinus of the aortic root. Postoperatively, she required a permanent pacemaker placement. Her echocardiogram showed ejection fraction improvement from a preoperative 25% to a postoperative 35%

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Summary

Introduction

A 49-year-old woman with four months of increasing episodic palpitations, chest pain, and shortness of breath presented to an outside clinic where a new 4/6 systolic ejection murmur was identified. Giant Aortic Root Aneurysm Presenting as Acute Type A Aortic Dissection A transthoracic echocardiogram revealed a large aortic root aneurysm. Her echo showed ejection fraction improvement from a preoperative 25% to a postoperative 35%.

Results
Conclusion
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