Successful management of acute aortic dissection in a heart transplant recipient.
A case of type III aortic dissection which occurred fourteen months after heart transplantation is presented. Medical therapy was instituted to achieve controlled hypotension. The evolution was favorable and the patient could be discharged after one month. Hypertension and increased ejection fraction after transplantation could have been predisposing factors via an increase of the shear stress in the aorta.
Defraigne
J O
JO
University Hospital of Liège, Department of Cardiovascular Surgery, Belgium.
Demoulin
J C
JC
Detry
O
O
Bertrand
O
O
Limet
R
R
D000368:Aged; D000784:Aortic Dissection / Q000188:drug therapy*; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D017545:Aortic Aneurysm, Thoracic / Q000188:drug therapy*; D003000:Clonidine / Q000627:therapeutic use*; D016027:Heart Transplantation; D006801:Humans; D007741:Labetalol / Q000627:therapeutic use*; D008297:Male; D011183:Postoperative Complications / Q000188:drug therapy*; D013997:Time Factors
D000959:Antihypertensive Agents; D003000:Clonidine; D007741:Labetalol