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Valvulopatia aórtica congénita e a sua relação com o aneurisma da aorta
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Advisor(s)
Abstract(s)
A estenose aórtica por válvula bicúspide, é
caracterizada pelo comprometimento da abertura
da válvula aórtica, estreitando-a, o que por sua
vez dificulta a ejeção sanguínea ventricular, tendo
como consequência direta um aumento do esforço
do músculo cardíaco e uma ectasia/aneurisma da
aorta. Tanto a estenose como o aneurisma da aorta,
apresentam sintomatologia, nomeadamente dor
torácica, fadiga, sincope. No que diz respeito ao
aneurisma da aorta, este pode tornar-se fatal em
caso de rutura.
Paciente do género masculino, 54 anos, com
diagnóstico de estenose aórtica, (bicuspidía
valvular de origem congénita), aneurisma da aorta
ascendente e doença arterial coronária de um
vaso. Deu entrada num hospital central, onde foi
submetido a uma cirurgia de substituição da válvula
aórtica por prótese mecânica, excisão do aneurisma
da aorta ascendente com implantação de conduto
e cirurgia de revascularização coronária da artéria
mamária interna esquerda pediculada para a artéria
coronária Descendente Anterior, apresentado um
bom prognóstico à saída do bloco operatório
ABSTRACT: Aortic stenosis by bicuspid valve is characterized by the compromise of the opening of the aortic valve, narrowing it, which in turn hinders ventricular blood ejection, having as a direct consequence an increase in the effort of the heart muscle and an ectasia/ aneurysm of the aorta. Both stenosis and aortic aneurysm present symptoms, namely chest pain, fatigue, syncope. With regard to aortic aneurysm, it can become fatal in case of rupture. A 54-year-old male patient diagnosed with aortic stenosis (congenital valvular bicuspidy), ascending aortic aneurysm and coronary artery disease of a vessel. He was admitted to a central hospital, where he underwent surgery to replace the aortic valve by mechanical prosthesis, excision of the ascending aortic aneurysm with implantation of the conduit and coronary revascularization surgery of the left mammary artery pediculated to the anterior descending coronary artery, presented a good prognosis at the exit of the operating room.
ABSTRACT: Aortic stenosis by bicuspid valve is characterized by the compromise of the opening of the aortic valve, narrowing it, which in turn hinders ventricular blood ejection, having as a direct consequence an increase in the effort of the heart muscle and an ectasia/ aneurysm of the aorta. Both stenosis and aortic aneurysm present symptoms, namely chest pain, fatigue, syncope. With regard to aortic aneurysm, it can become fatal in case of rupture. A 54-year-old male patient diagnosed with aortic stenosis (congenital valvular bicuspidy), ascending aortic aneurysm and coronary artery disease of a vessel. He was admitted to a central hospital, where he underwent surgery to replace the aortic valve by mechanical prosthesis, excision of the ascending aortic aneurysm with implantation of the conduit and coronary revascularization surgery of the left mammary artery pediculated to the anterior descending coronary artery, presented a good prognosis at the exit of the operating room.
Description
Keywords
Arteriosclerose coronária Válvula aórtica Aneurisma da aorta torácica Revascularização miocárdica Coronary artery disease Aortic valve Aortic aneurysm thoracic Myocardial revascularization
Citation
SANTOS, Adriana Jesus dos [et al.] (2021) - Valvulopatia aórtica congénita e a sua relação com o aneurisma da aorta. HIGEIA: Revista Científica da Escola Superior de Saúde Dr. Lopes Dias. ISSN 2184-5565. Ano III, vol. 5, n.º 1, p. 75-81.
Publisher
IPCB. ESALD