title: Acute on chronic pulmonary autograft dissection.
abstract: We report a case of combined acute and chronic dissection limited to the pulmonary autograft 10 years after a Ross procedure, managed by replacement with a stentless porcine bioprosthesis. Implications for timing and technique of reintervention for pulmonary autograft dilatation are discussed.
authors.affiliation: Department of Cardiothoracic Surgery, Loma Linda University School of Medicine, Loma Linda, CA, USA drabkin@llu.edu.
authors.forename: David G
authors.initials: DG
authors.lastname: Rabkin
authors.affiliation: Intermountain Medical Center, Murray, UT, USA.
authors.forename: Bruce B
authors.initials: BB
authors.lastname: Reid
authors.affiliation: Intermountain Medical Center, Murray, UT, USA.
authors.forename: John R
authors.initials: JR
authors.lastname: Doty
mesh_terms: D000208:Acute Disease; D064591:Allografts; D000783:Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D064592:Autografts; D000082882:Bicuspid Aortic Valve Disease; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation*; D002908:Chronic Disease; D004108:Dilatation, Pathologic; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome; D055815:Young Adult
keywords: Adult congenital; Aortic dissection; Ross operation