title: Replacement of infected aortic prosthetic graft with aortic homograft after heart transplantation: 13-year follow-up.
abstract: Acute ascending aortic dissection (AAAD) is a rare complication after orthotopic heart transplantation. We report a patient with AAAD after heart transplantation in whom repair was complicated by infection of the ascending aortic prosthetic graft. This was successfully managed by re-do replacement with two cryopreserved aortic homografts. Despite extensive calcification in the wall, the homografts show no aneurysm or dilation after 10 years.
authors.affiliation: Division of Cardiothoracic Surgery, Heart/Lung Transplantation and Artificial Heart Program, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, Florida 33136, USA.
authors.forename: Francisco Igor B
authors.initials: FI
authors.lastname: Macedo
authors.forename: Tomas A
authors.initials: TA
authors.lastname: Salerno
authors.forename: Si M
authors.initials: SM
authors.lastname: Pham
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D001011:Aorta / Q000637:transplantation*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002114:Calcinosis / Q000175:diagnosis; D015925:Cryopreservation; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000175:diagnosis; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous