This 57 year old male presented with recurrent severe chest pain, initially treated as a ST elevation myocardial infarction. Moderately elevated cardiac enzymes. Coronary angiogram showed normal coronary arteries and a dilated aorta. CT scan showed a 7.5cm aortic root aneurysm. Trans-thoracic echo further showed severe aortic valve regurgitation and a dilated moderately impaired left ventricle. Taken to the operating theatre urgently for emergency aortic root replacement. A 25mm On-X Ascending Aortic Prosthesis was implanted. The patient made an uneventful recovery and was discharged from hospital 5 days post-operatively. Video is obtained using head-mounted Parallel Medical Camera : www.parallel-medical.com.
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