Valve-sparing repair after aortic root dissection following heart transplantation.
We describe the case of a 56-year-old male who presented with a Stanford type A dissection limited to the donor aorta 25 days after orthotopic heart transplantation. Transesophageal echocardiography revealed a newly developed aortic regurgitation grade III and a typical intimal tear 1 cm above the commissures. Surgical therapy included replacement of the ascending aorta with an aortic allograft and implantation of the native aortic valve inside the allograft as a modified David procedure.
Teebken
O E
OE
Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Germany. teebken@thg.mh-hannover.de
Pethig
K
K
Krieg
P
P
Haverich
A
A
Harringer
W
W
D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D017548:Echocardiography, Transesophageal; D006333:Heart Failure / Q000601:surgery; D016027:Heart Transplantation / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed