Total calcification of an aortic homograft used as aortic root replacement

Giacomo Ravenni; Stefano Pratali; Giovanni Scioti; Uberto Bortolotti

doi:10.2459/JCM.0b013e3283356639

Total calcification of an aortic homograft used as aortic root replacement

J Cardiovasc Med (Hagerstown). 2011 Mar;12(3):191-2. doi: 10.2459/JCM.0b013e3283356639.

Authors

Giacomo Ravenni¹, Stefano Pratali, Giovanni Scioti, Uberto Bortolotti

Affiliation

¹ Cardiothoracic and Vascular Department, Section of Cardiac Surgery, University of Pisa, Medical School, Pisa, Italy.

PMID: 20104179
DOI: 10.2459/JCM.0b013e3283356639

Abstract

A 66-year-old man presented with total calcification of a homograft used as aortic root replacement approximately 10 years previously. Reoperation consisted of complete dissection of the homograft and en-bloc replacement with a mechanical conduit. Despite careful dissection the right coronary ostium was disrupted requiring reconstruction by interposition of a saphenous vein segment. Reoperation for failure of homografts used as aortic root replacement represents a major technical challenge.

Publication types

Case Reports

MeSH terms

Aged
Aorta / surgery*
Aortic Valve Stenosis
Bioprosthesis*
Blood Vessel Prosthesis Implantation / adverse effects
Blood Vessel Prosthesis Implantation / instrumentation*
Blood Vessel Prosthesis*
Calcinosis / diagnostic imaging
Calcinosis / etiology*
Calcinosis / surgery
Device Removal
Graft Occlusion, Vascular / diagnostic imaging
Graft Occlusion, Vascular / etiology*
Graft Occlusion, Vascular / surgery
Heart Valve Prosthesis Implantation / adverse effects
Heart Valve Prosthesis Implantation / instrumentation*
Heart Valve Prosthesis*
Humans
Male
Radiography
Reoperation
Saphenous Vein / transplantation
Transplantation, Homologous
Treatment Outcome