title: Successful treatment of aortic dissection after heterotopic heart transplantation.
abstract: Heterotopic heart transplantation is a valid option when there is a large donor-recipient size mismatch. However, the presence of the diseased native heart can jeopardize the medium-term and long-term outcome. The problems stemming from this most commonly described in the literature are thromboembolism, angina, and arrhythmias. In this report, we describe the case of a type A aortic dissection in the native aorta that occurred 30 months after heterotopic heart transplantation and the surgical technique successfully applied for its repair. We also discuss some of the alternative techniques.
authors.affiliation: Department of Cardiac Surgery, I.R.C.C.S. Policlinico S. Matteo, University of Pavia, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Martinelli
authors.forename: M
authors.initials: M
authors.lastname: Rinaldi
authors.forename: C
authors.initials: C
authors.lastname: Pederzolli
authors.forename: C
authors.initials: C
authors.lastname: Goggi
authors.forename: N
authors.initials: N
authors.lastname: Pederzolli
authors.forename: M
authors.initials: M
authors.lastname: Viganò
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013536:Suture Techniques; D016042:Transplantation, Heterotopic