Abstract
An acute aortic dissection of the pulmonary autograft with a free rupture of the neoaortic wall is a rare complication after a Ross procedure. In this case, the intimal tear was localized in the noncoronary sinus of the pulmonary autograft and the neoaortic wall was ruptured in the involved sinus area. The dissection was contained in the pulmonary autograft. This report describes a successful aortic root replacement of a patient with the clinical symptoms of an acute aortic type A dissection with a free rupture of the neoaortic wall.
Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Acute Disease
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Aortic Aneurysm, Thoracic / diagnostic imaging
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Aortic Aneurysm, Thoracic / etiology
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Dissection / diagnostic imaging
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Aortic Dissection / etiology
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Aortic Dissection / surgery*
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Aortic Valve / abnormalities*
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Aortic Valve / diagnostic imaging
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Aortic Valve / surgery
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Aortic Valve Insufficiency / complications
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Aortic Valve Insufficiency / diagnostic imaging
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Aortic Valve Insufficiency / surgery*
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Aortic Valve Stenosis / complications
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Aortic Valve Stenosis / diagnostic imaging
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Aortic Valve Stenosis / surgery*
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Bicuspid Aortic Valve Disease
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Cardiac Surgical Procedures / adverse effects*
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Cardiac Surgical Procedures / methods
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Cardiopulmonary Bypass / methods
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Follow-Up Studies
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Heart Valve Diseases / diagnostic imaging
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Heart Valve Diseases / surgery*
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Humans
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Magnetic Resonance Imaging, Cine / methods
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Male
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Middle Aged
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Pulmonary Valve / transplantation
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Reoperation / methods
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Sternotomy / methods
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Transplantation, Autologous / methods
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Treatment Outcome