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Early aortic dissection after aortic valve replacement with a Perceval sutureless bioprosthesis
Author(s) -
Giosuè Falcetta,
Stefano Pratali,
G Ravenni,
Uberto Bortolotti
Publication year - 2018
Publication title -
indian journal of thoracic and cardiovascular surgery/indian journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 9
eISSN - 0973-7723
pISSN - 0970-9134
DOI - 10.1007/s12055-018-0675-6
Subject(s) - medicine , ascending aorta , aortic dissection , surgery , aortic valve replacement , prosthesis , cardiac surgery , cardiothoracic surgery , dissection (medical) , aortic valve , stent , aorta , cardiology , stenosis
We report a patient who developed ascending aorta dissection after aortic valve replacement with a Perceval sutureless pericardial bioprosthesis, a previously not reported complication with this device. At reoperation, the intimal tear was located at the aortotomy suture line; the tips of the nitinol stent were far from the aortic lesion which therefore was not attributable to the presence of this specific prosthetic model. Nevertheless, a previous report of aortic dissection due to erosion of the aortic wall by the strut of a transcatheter prosthesis may raise the suspicion that such complication could also occur with sutureless prostheses of similar design.

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