Unusual rapid evolution of type B aortic dissection in a marfan patient following heart transplantation: successful endovascular treatment.
A patient with Marfan syndrome with previous Bentall operation for mitral and tricuspid valve repair, required orthotopic cardiac transplantation for end stage cardiomyopathy. Postoperatively he suffered type-B aortic dissection, despite normal aortic diameters. Following sudden increase of aortic diameters, two years later, he underwent successful stent graft implantation. In patients with Marfan syndrome, post transplantation morbidity is high, with a 40% incidence of thoracic aortic dissection. This case highlights the potential of endovascular approach for treating post-transplantation aortic dissection.
Botta
L
L
Department of Cardiac Surgery, University of Bologna, Bologna, Italy.
Russo
V
V
Grigioni
F
F
Arpesella
G
G
Rocchi
G
G
Di Bartolomeo
R
R
Fattori
R
R
D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009202:Cardiomyopathies / Q000150:complications / Q000601:surgery; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*