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Late Dissection of Pulmonary Autograft Treated by Valve‐Sparing Aortic Root Replacement
Author(s) -
Venkataraman Rajesh,
Vaidyanathan Karthik R.,
Sankar Madhu N.,
Cherian Kotturathu M.
Publication year - 2009
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.1540-8191.2008.00764.x
Subject(s) - medicine , aortic root , aortic dissection , surgery , dissection (medical) , aortic valve , cardiology , aorta
Dissection of the pulmonary autograft is an extremely rare complication requiring emergent treatment as there is a chance of rupture and proximal aortic involvement. The autograft dissection can involve the aortic annulus, causing separation of leaflets from the annulus in addition to causing annular dilatation, thereby precluding resuspension of leaflets. The usual treatment in such cases is to perform the Bentall procedure, which involves placing a valved conduit (usually mechanical valve) and thereby necessitating anticoagulation. This report describes a case of successful valve‐sparing aortic root replacement following the Ross procedure with dissection of autograft.