Acute Type A Dissection, Coarctation of Aorta and Levoatriocardinal Vein
-- A Rare Combination
Concomitant presence of acute type A dissection and coactation of aorta
is rare (1). Levoatriocardinal vein has shown to be associated with left
sided hypoplastic lesions as well as with normal hearts (2, 3 ).
However, concurrent presence of levoatriocardinal vein with acute type A
dissection, severe aortic regurgitation and Coarctation of aortic
isthmus was not described. We here described a case of 20 year male
presented to emergency department with acute chest pain radiating to
back. On evaluation, he was found to have acute type A dissection with
dilated aortic root, severe aortic regurgitation, normal mitral valve,
severe coarctation of aorta and levoatriocardinal vein. Patient was
managed successfully with composite valve conduit replacement of
ascending aorta with ascending aortic to descending aortic graft (16mm
graft) with levoatriocardinal vein ligation.