PMC2796460_01
Preoperative angiography.
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fig1
Angiography (Figure 1) showed a severe hypoplasia of the proximal segment of the ascending aorta (minimum inner diameter: 11 mm) and a 2/4 aortic incompetence; a mild stenosis of the isthmic region was also present, with a pressure gradient of about 35 mmHg The coronary ostia were enlarged and the right coronary and the left main coronary were dilated and tortuous, but the coronary vessels were free of any obstructive disease.
Intraoperative ascending aorta specimen.
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fig2
The native ascending aorta showed a very thick wall (4 mm), see Figure 2.
Postoperative CT angiography.
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fig3
The patient was discharged on the seventh post-operative day. Three months later, a CT-scan demonstrated a normal aspect of the ascending aorta (Figure 3).