title: Intimal Flap Vegetation Following Aortic Root Re-dissection.
abstract: A 75-year-old man who had undergone ascending aorta replacement for acute Type A aortic dissection presented with a recurring high fever. Transesophageal echocardiography revealed that a vegetation had formed on the re-dissected intimal flap of the noncoronary sinus of Valsalva. This didactic case suggests that antibiotic prophylactic measures be considered for aortic dissection flaps as for irregular valves susceptible to infective endocarditis.
authors.affiliation: Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Nishikyo-ku, Kyoto, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Osada
authors.affiliation: Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Nishikyo-ku, Kyoto, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakajima
authors.affiliation: Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Nishikyo-ku, Kyoto, Japan.
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Meshii
authors.affiliation: Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Nishikyo-ku, Kyoto, Japan.
authors.forename: Motoaki
authors.initials: M
authors.lastname: Ohnaka
keywords: Aortic dissection; Aortic root reoperation; Vegetation