Recurrent Aortic Dissection After Orthotopic Heart Transplantation

• Published in: The Annals of thoracic surgery Vol. 62; no. 6; pp. 1830 - 1831
• Main Authors: Mullen, John C, Lemermeyer, Gillian, Bentley, Michael J
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.12.1996; Elsevier Science
• Subjects: Adult; Aneurysm, Dissecting - complications; Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - surgery; Aortic Aneurysm, Thoracic - complications; Aortic Aneurysm, Thoracic - diagnostic imaging; Aortic Aneurysm, Thoracic - surgery; Biological and medical sciences; Heart Transplantation; Humans; Male; Marfan Syndrome - complications; Medical sciences; Radiography; Recurrence; Reoperation; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis; Heart; Human; Connective tissue disease; Elastic tissue disease; Cardiomyopathy; Cardiovascular disease; Transplantation; Homotransplantation; Myocardial disease; Marfan syndrome; Genetic disease; Dissecting aneurysm; Case study; Treatment; Heart disease; Surgery; Systemic disease; Aorta; Complication; Aortic disease
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/S0003-4975(96)00615-7

A patient with Marfan's syndrome and previous Bentall repair for aortic dissection required orthotopic cardiac transplantation for end-stage cardiomyopathy. Postoperatively he suffered recurrent aortic dissection involving the transverse and descending aorta leading to tracheal and esophageal compression. He underwent successful surgical replacement of his ascending aorta, transverse arch, and descending aorta.