Aortic dissection one year after aortic valve replacement.

Autor:	Behranwala AA; Department of Cardiovascular Thoracic Surgery, Jaslok Hospital and Research Centre, Mumbai, India., Handa SR; Department of Cardiology, Jaslok Hospital and Research Centre, Mumbai, India., Mehta NP; Department of Cardiology, Jaslok Hospital and Research Centre, Mumbai, India dr.niharmehta@gmail.com.
Jazyk:	angličtina
Zdroj:	Asian cardiovascular & thoracic annals [Asian Cardiovasc Thorac Ann] 2014 Nov; Vol. 22 (9), pp. 1099-102. Date of Electronic Publication: 2013 Oct 18.
DOI:	10.1177/0218492313493793
Abstrakt:	Acute aortic dissection after aortic valve replacement is rare. A 57-year-old man presented with an acute type A aortic dissection 1 year after aortic valve replacement, which originated from the previous aortotomy site. He underwent a Bentall procedure. Postoperatively, he developed complete heart block requiring permanent pacemaker implantation. During aortic valve replacement, risk factors for aortic dissection (diameter of the aorta and fragility and thinness of the aortic wall) should be assessed. Prophylactic aortic root replacement should be undertaken if the aortic root is more than 45 mm in diameter. (© The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.)
Databáze:	MEDLINE
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