title: Valve-sparing root and ascending aorta replacement after heart transplantation.
abstract: A 45-year-old female underwent heart transplantation 17 years ago, with a heart from a 15-year-old donor. Recently, she had developed an aneurysm of the donor aortic root and ascending aorta, with severe aortic insufficiency. Two surgical options were considered; retransplantation versus replacement of the aortic root and ascending aorta. A valve-sparing replacement of the aortic root and ascending aortic aneurysm was performed. The donor aorta showed pathologic changes typical of Marfan syndrome. Nineteen months postoperatively, the patient remains in functional class I, with trivial aortic insufficiency.
authors.affiliation: Division of Cardiovascular Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
authors.forename: Abdelsalam M
authors.initials: AM
authors.lastname: Elhenawy
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Feindel
authors.forename: Heather
authors.initials: H
authors.lastname: Ross
authors.forename: Jagdish
authors.initials: J
authors.lastname: Butany
authors.forename: Terrence M
authors.initials: TM
authors.lastname: Yau
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000601:surgery; D016027:Heart Transplantation / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed