Valve-sparing repair after aortic root dissection following heart transplantation

J Heart Lung Transplant. 1999 Aug;18(8):807-9. doi: 10.1016/s1053-2498(98)00069-2.

Abstract

We describe the case of a 56-year-old male who presented with a Stanford type A dissection limited to the donor aorta 25 days after orthotopic heart transplantation. Transesophageal echocardiography revealed a newly developed aortic regurgitation grade III and a typical intimal tear 1 cm above the commissures. Surgical therapy included replacement of the ascending aorta with an aortic allograft and implantation of the native aortic valve inside the allograft as a modified David procedure.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / diagnosis
  • Aortic Dissection / etiology
  • Aortic Dissection / surgery*
  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / surgery
  • Blood Vessel Prosthesis Implantation / methods*
  • Echocardiography, Transesophageal
  • Heart Failure / surgery
  • Heart Transplantation / adverse effects*
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed