Evidence map›Paper›PMID 39554387›Full record

ArticleJournal of surgical case reports2024

Stanford A aortic dissection 40 years after aortic valve replacement with a Starr-Edwards caged-ball prosthesis: a case report.

Tomislav Tokic, Lea Hasnas, Lovro Mikulic, Pavel Markovic, Stella Gustek, Anamarija Kucina, Ivana Jurca, Dubravka Sipus, Martina Zrno Mihaljevic, Hrvoje Gasparovic and 1 more

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Article in Journal of surgical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Tomislav TokicDepartment of Cardiac Surgery, University Hospital Center Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.
Lea HasnasDepartment of Surgery, School of Medicine, University of Zagreb, Salata 3, 10000 Zagreb, Croatia.
Lovro MikulicDepartment of Surgery, School of Medicine, University of Zagreb, Salata 3, 10000 Zagreb, Croatia.
Pavel MarkovicDepartment of Surgery, School of Medicine, University of Zagreb, Salata 3, 10000 Zagreb, Croatia.
Stella GustekDepartment of Surgery, School of Medicine, University of Zagreb, Salata 3, 10000 Zagreb, Croatia.
Anamarija KucinaDepartment of Surgery, School of Medicine, University of Zagreb, Salata 3, 10000 Zagreb, Croatia.
Ivana JurcaDepartment of Radiology, University Hospital Center Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.
Dubravka SipusDepartment of Cardiology, University Hospital Center Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.
Martina Zrno MihaljevicDepartment of Cardiac Surgery, University Hospital Center Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.
Hrvoje GasparovicDepartment of Cardiac Surgery, University Hospital Center Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.
Ivan BurcarDepartment of Cardiac Surgery, University Hospital Center Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stanford A aortic dissection is one of the most devastating acute medical conditions due to its high morbidity and mortality. We describe a 77-year-old male patient with a medical history of surgical aortic valve replacement with a still functioning Starr-Edwards caged-ball valve 40 years prior. The patient was promptly diagnosed with an ascending aortic aneurysm and dissection, and an emergency Bentall procedure in deep hypothermic circulatory arrest was performed. This is, to the best of our knowledge, the first Stanford A dissection case described in the literature in a patient with Starr-Edwards valve, and the longest still functioning caged-ball valve to have been replaced with the Bentall procedure. We also discuss the caged-ball valve's unfavorable hemodynamics as a potential predisposing factor of the dissection, as well as the patient's supposed initial bicuspid aortic valve disease which could also predispose to aortic aneurysm formation and dissection.

Indexed as

aortic dissectionaortic valve replacementbicuspid aortic valvecaged-ball valveStanford A dissection

Identifiers

PMID39554387
PMCPMC11570105

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