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Subtle Aortic Dissection in a Patient with Severe Aortic Regurgitation and Undiagnosed Bicuspid Aortic Valve: Case Report with a Literature Review
  • +4
  • Davorin Sef,
  • Stewart Brown,
  • Omar Jarral,
  • Azhar Hussain,
  • Elizabeth Haslam,
  • Cha Rajakaruna,
  • Christopher McAloon
Davorin Sef
St Bartholomew's Hospital
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Stewart Brown
Gloucestershire Royal Hospital
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Omar Jarral
St Bartholomew's Hospital
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Azhar Hussain
St Bartholomew's Hospital
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Elizabeth Haslam
Gloucestershire Royal Hospital
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Cha Rajakaruna
Bristol Royal Infirmary
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Christopher McAloon
Gloucestershire Royal Hospital
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Abstract

A subtle aortic dissection can be challenging to detect despite the availability of multiple diagnostic modalities. Whilst rare, the inability to detect this variant of aortic dissection can lead to a dismal prognosis. We present an extremely rare case of a subtle aortic dissection with supraannular aortic root intimal tear and acute severe aortic regurgitation in a patient with a bicuspid aortic valve. Initial concerns were either aortic dissection or infective endocarditis. Despite advanced multimodality preoperative imaging, diagnosis was made intraoperatively and a Bentall procedure with a mechanical aortic valve was performed. As current data is limited, a literature review concerning subtle aortic dissection is provided.

Peer review status:ACCEPTED

11 Apr 2021Submitted to Journal of Cardiac Surgery
12 Apr 2021Submission Checks Completed
12 Apr 2021Assigned to Editor
12 Apr 2021Reviewer(s) Assigned
13 May 2021Review(s) Completed, Editorial Evaluation Pending
17 May 2021Editorial Decision: Revise Minor
18 May 20211st Revision Received
18 May 2021Submission Checks Completed
18 May 2021Assigned to Editor
18 May 2021Reviewer(s) Assigned
25 May 2021Review(s) Completed, Editorial Evaluation Pending
26 May 2021Editorial Decision: Accept