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Cardiac Allograft Aortic Dissection: Successful Repair Using a Composite Valve Graft and Modified‐Cabrol Coronary Reconstruction
Author(s) -
Caffarelli Anthony D.,
Fann James I.,
Salerno Christopher T.,
Johnson Frances,
Jenkins D. Denison,
O'Ban Laura,
Burdon Thomas A.
Publication year - 2005
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2005.200467.x
Subject(s) - medicine , aortic root , surgery , aortic dissection , aorta , dissection (medical) , aortic valve , cardiology , transplantation , aortic valve insufficiency , aortic valve repair
Abstract We report a 55‐year‐old man, the recipient of a cardiac allograft for ischemic cardiomyopathy 9 years earlier, who presented with progressive aortic root dilation, worsening aortic insufficiency, and an incidentally discovered chronic type A aortic dissection limited to the donor aorta. The patient was taken to the operating room, and the aortic dissection successfully repaired using standard reoperative techniques. This is the sixth case reported in the literature, and only the fourth survivor. To our knowledge, this case represents the first successful repair, of a limited aortic dissection of the donor aorta postcardiac transplantation, using a composite valve graft and modified‐Cabrol coronary reconstruction.