Stanford type A aortic dissection after urgent prosthetic valve replacement: case reports

Journal of Cardiothoracic Surgery

Mitsuhiro Kawata¹  Kenichi Okamura¹  Sei Morizumi¹  Yoshihiro Suematsu¹ 

[1] Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Tsukuba, Japan

关键词: Urgent surgery;    Aortic dilatation;    Aortic dissection;    Aortic valve replacement;   

Others  :  812027
DOI  :  10.1186/1749-8090-9-9

 received in 2013-07-05, accepted in 2013-12-30,  发布年份 2014

【 摘 要 】

Occurrence of acute aortic dissection after aortic valve replacement is rare, however, it is associated with high mortality and morbidity rates. We report two Asian cases in which acute aortic dissection occurred after urgent aortic valve replacement for infective endocarditis. Successful graft replacement was carried out with preservation of the prosthetic valves in both cases. Our experience with these cases suggests that, even in urgent or emergent situations, surgical intervention for associated aortic dilatation should be considered when aortic valve replacement is performed.

【 授权许可】

   
2014 Suematsu et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】

• [1]von Kodolitsch Y, Loose R, Ostermeyer J, Aydin A, Koschyk DH, Haverich A, Nienaber CA: Proximal aortic dissection late after aortic valve surgery: 119 cases of a distinct clinical entity. Thorac Cardiovasc Surg 2010, 48:342-346.
• [2]Burckhardt D, Striebel D, Vogt S, Hoffmann A, Roth J, Weiss P, Kiowski W, Pfisterer M, Burkart F, Althaus U: Heart valve replacement with St. Jude Medical valve prosthesis. Long-term experience in 743 patients in Switzerland. Circulation 1988, 78:I18-I24.
• [3]Sasaki H, Ishitoya H, Sasaki O: A case of acute aortic dissection with intimal tear found at 1 cm above previous aortotomy. Ann Vasc Dis 2013, 6:84-86.
• [4]Fukuda T, Tadavarthy SM, Edwards JE: Dissecting aneurysm of aorta complicating aortic valvular stenosis. Circulation 1976, 53:169-175.
• [5]Gornik HL, Creager MA: Aortitis. Circulation 2008, 117:3039-3051.
• [6]Tsutsumi K, Inoue Y, Hashizume K, Kimura N, Takahashi R: Risk factor analysis for acute type A aortic dissection after aortic valve replacement. Gen Thorac Cardiovasc Surg 2010, 58:601-605.
• [7]Albat B, Thevenet A: Dissecting aneurysms of the ascending aorta occurring late after aortic valve replacement. J Cardiovasc Surg 1992, 33:272-275.
• [8]Robicsek F, Cook JW, Reames MK Sr, Skipper ER: Size reduction ascending aortoplasty: is it dead or alive? J Thorac Cardiovasc Surg 2004, 128:562-570.