Hayashi Y, Ohtake S, Sawa Y, Imagawa H, Hirata N, Matsuda H
First Department of Surgery, Osaka University Medical School, Japan.
Jpn J Thorac Cardiovasc Surg. 1998 Aug;46(8):724-9. doi: 10.1007/BF03217809.
A 68-year-old man, who had underwent aortic valve replacement (AVR) with Björk-Shiley disc valve for aortic regurgitation 17 years ago, was transferred to our hospital complaining of facial redness and swelling, without chest or back pain. Preoperative examination revealed DeBakey type II aortic dissection, which caused superior vena cava syndrome (SVC syndrome). Emergent ascending aortic replacement was performed, postoperatively central venous pressure (CVP) decreased from 33 to 9 mmHg, and SVC syndrome was relieved. Painless aortic dissection after AVR, presenting as SVC syndrome, is a rare case, and close follow-up should be performed under consideration of painless aortic dissection late after AVR.
