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Aortic Dissections Following Heart Transplantations
Author(s) -
Skalsky Ivo,
Urban Marian,
Malouskova Jana,
Szarszoi Ondrej,
Pirk Jan,
Netuka Ivan
Publication year - 2012
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.1540-8191.2011.01390.x
Subject(s) - medicine , aortic dissection , surgery , dissection (medical) , aorta , heart transplantation , complication , transplantation , cardiology
Background: Aortic dissection in a cardiac allograft is an uncommon complication of heart transplantation with only few cases reported in the literature. Method: We report a case of 46‐year‐old female who underwent orthotopic heart transplantation for dilated cardiomyopathy 22 years earlier. During surveillance echocardiographic examination she was diagnosed with type A aortic dissection limited to the donor aorta. The aortic root was successfully replaced using a valve‐sparing David procedure. The pathogenesis and surgical management of these dissections is reviewed. Conclusion: Appropriate surgical repair performed in a timely fashion leads to excellent results improving the prognosis of these patients. (J Card Surg 2012;27:125–127)