title: Dislocated wrap after previous reduction aortoplasty causes erosion of the ascending aorta.
abstract: We report a patient with bicuspid aortic valve and dilatation of the ascending aorta who had previous aortic valve replacement and reduction aortoplasty with wrapping. After 4 years, reoperation because of coronary artery disease and paravalvular leakage revealed an erosion of the aortic wall due to dislocation of the wrap. This complication confirms the need for secure anchoring and good fitting of the Dacron wrap to avoid alterations of the underlying aortic wall.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany. mbauer@dhzb.de
authors.forename: Matthias
authors.initials: M
authors.lastname: Bauer
authors.forename: Onnen
authors.initials: O
authors.lastname: Grauhan
authors.forename: Roland
authors.initials: R
authors.lastname: Hetzer
mesh_terms: D001011:Aorta / Q000473:pathology* / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities*; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004108:Dilatation, Pathologic; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D019736:Prostheses and Implants / Q000009:adverse effects*; D011475:Prosthesis Failure
chemical_list: D011093:Polyethylene Terephthalates