Valve-sparing root and ascending aorta replacement after heart transplantation.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23176927.
- Also identified by DOI 10.1016/j.athoracsur.2012.04.143.
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Abstract
A 45-year-old female underwent heart transplantation 17 years ago, with a heart from a 15-year-old donor. Recently, she had developed an aneurysm of the donor aortic root and ascending aorta, with severe aortic insufficiency. Two surgical options were considered; retransplantation versus replacement of the aortic root and ascending aorta. A valve-sparing replacement of the aortic root and ascending aortic aneurysm was performed. The donor aorta showed pathologic changes typical of Marfan syndrome. Nineteen months postoperatively, the patient remains in functional class I, with trivial aortic insufficiency.
Medical subject headings
- Aortic Aneurysm, Thoracic
- Aortic Valve Insufficiency
- Blood Vessel Prosthesis Implantation
- Heart Transplantation
- Heart Valve Prosthesis Implantation