Doctor Q&A: “Will My Dilated Aortic Root Progress to Needing Surgery?” asks Desmond
heart-valve-surgery.com
Doctor Q&A: “Will My Dilated Aortic Root Progress to Needing Surgery?” asks Desmond
Learn important risk factors to evaluate the progression of dilated aortic roots, valve disease and aorta surgery from Dr. Luis Castro, heart surgeon.
Jul 25, 2022
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Aortic root dilatation is a well-documented late complication after the Ross procedure. While the autograft offers excellent long-term benefits, its dilatation over time can lead to progressive aortic regurgitation, necessitating regular echocardiographic surveillance and, in some cases, reoperation. This is a critical aspect of post-Ross patient management. Get our Guidelines in Focus course now for a special discount 👉 https://zurl.co/Qg55f #EchoEssentials #EchoGuidelines #LatestGuidelines #G
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Aortic root dilatation is a well-documented late complication after the Ross procedure. While the autograft offers excellent long-term benefits, its dilatation over time can lead to progressive aortic regurgitation, necessitating regular echocardiographic surveillance and, in some cases, reoperation. This is a critical aspect of post-Ross patient management. Get our Guidelines in Focus course now for a special discount 👉 https://zurl.co/Qg55f #EchoEssentials #EchoGuidelines #LatestGuidelines #G
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Aortic root dilatation is a well-documented late complication after the Ross procedure. While the autograft offers excellent long-term benefits, its dilatation over time can lead to progressive aortic regurgitation, necessitating regular echocardiographic surveillance and, in some cases, reoperation. This is a critical aspect of post-Ross patient management. Get our Guidelines in Focus course now for a special discount 👉 https://zurl.co/Qg55f #EchoEssentials #EchoGuidelines #LatestGuidelines #G
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Case: 48 Type A Aortic Dissection. Dissection involved in Aortic Arch & its Branches. Echo Report Type A Aortic Dissection Dissection involved in Aortic Arch & its branches, Thickened & Calcified AV, Moderate to Severe AR, Dilated Aortic Root, Concentric LVH, Dilated LV, Mild MR, Mild TR, No RWMA, Normal LVSF , No PE, EF: 60%. | Interesting cases in Echocardiography
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Key Echo Findings in Aortic Dissection 🫀👇 • Mobile intimal flap separating true vs. false lumen • Different flow patterns between lumens on color Doppler • Aortic regurgitation — often from commissural detachment or root dilation • Pericardial effusion/tamponade from rupture into the pericardial space • Dilated ascending aorta or sinus of Valsalva • Possible LVH or LV dysfunction from chronic hypertension or ischemia Want more echo pearls like this? Join our newsletter on our website for free
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🔴 AORTIC DISSECTION – TTE CLUES 🔴 🩺 Direct Signs: 🧵 Intimal flap in ascending aorta 🔀 True and false lumen 📏 Dilated aortic root / ascending aorta 💥 Indirect Signs: ❤️ Acute severe aortic regurgitation (flail cusp or root dilation) 🫀 Pericardial effusion ± tamponade 📉 LV dysfunction due to acute volume overload 📈 CW / Color Doppler: 🌊 Eccentric AR jet (often severe) 🔁 Flow in both lumens ⚡ High-velocity jet across intimal tear (occasionally seen) 📌 TTE is rapid and bedside—excellent
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