title: Late disruption of a Freestyle stentless bioprosthesis used for repair of sinus of Valsalva aneurysm of noncoronary cusp.
abstract: We present a case of disruption of the porcine aortic wall of the 27-mm Freestyle stentless bioprosthesis 5 years after the subcoronary implantation to exclude the sinus of Valsalva aneurysm of the noncoronary cusp. At the urgent reoperation, the inflow suture line was found to be intact, and therefore a new stented valve was sutured with the inflow Dacron cuff after removal of ruptured valve. The subcoronary implantation technique creates a cavity between the prosthetic and native aortic walls filled with hematoma. The outflow suture line dehiscence caused blood flow into the cavity, porcine aortic wall rupture, and leaflet destruction.
authors.affiliation: Department of Cardiovascular Surgery, Nagoya Daini Red Cross Hospital, Nagoya, Japan. takami@nagoya2.jrc.or.jp
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Takami
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Masumoto
authors.forename: Biliie
authors.initials: B
authors.lastname: Fyfe-Kirschner
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000601:surgery*; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D011475:Prosthesis Failure; D012850:Sinus of Valsalva; D015607:Stents