Beckerman Ziv, McPherson LaRonica, Chen Edward P
Department of Surgery and Perioperative Care, University of Texas Dell Medical School, Austin, Texas.
Texas Center for Pediatric and Congenital Heart Disease, University of Texas Health Austin/Dell Children's Medical Center, Austin, Texas.
Aorta (Stamford). 2019 Oct;7(5):140-143. doi: 10.1055/s-0039-3401010. Epub 2020 Feb 4.
This case presents a patient who underwent aortic valve replacement and presented 13 years later with high gradients across the prosthesis, mitral insufficiency, and severe systemic hypertension. Her preoperative workup led to the diagnosis of an interrupted aortic arch Type A. Her surgical management included an initial procedure to repair the interruption, and 11 months later after resolution of her hypertension, a second surgery, which included the Ross procedure and mitral valve repair.
