title: Cardiac allograft aortic dissection: successful repair using a composite valve graft and modified-Cabrol coronary reconstruction.
abstract: We report a 55-year-old man, the recipient of a cardiac allograft for ischemic cardiomyopathy 9 years earlier, who presented with progressive aortic root dilation, worsening aortic insufficiency, and an incidentally discovered chronic type A aortic dissection limited to the donor aorta. The patient was taken to the operating room, and the aortic dissection successfully repaired using standard reoperative techniques. This is the sixth case reported in the literature, and only the fourth survivor. To our knowledge, this case represents the first successful repair, of a limited aortic dissection of the donor aorta postcardiac transplantation, using a composite valve graft and modified-Cabrol coronary reconstruction.
authors.affiliation: Department of Cardiothoracic Surgery, Stanford University, Stanford, California 94305, USA.
authors.forename: Anthony D
authors.initials: AD
authors.lastname: Caffarelli
authors.forename: James I
authors.initials: JI
authors.lastname: Fann
authors.forename: Christopher T
authors.initials: CT
authors.lastname: Salerno
authors.forename: Frances
authors.initials: F
authors.lastname: Johnson
authors.forename: D Denison
authors.initials: DD
authors.lastname: Jenkins
authors.forename: Laura
authors.initials: L
authors.lastname: O'Bannon
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Burdon
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta / Q000637:transplantation*; D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003331:Coronary Vessels; D016027:Heart Transplantation; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged