Key result
Composite graft with modified-Cabrol successfully repairs limited donor aortic dissection after cardiac transplantation.
Why the study?
Limited data exist on successful repair techniques for chronic type A aortic dissection limited to the donor aorta after cardiac transplantation.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
This case demonstrates the feasibility of using a composite valve graft and modified-Cabrol coronary reconstruction to successfully repair a chronic type A aortic dissection in a cardiac allograft.
We report a 55-year-old man, the recipient of a cardiac allograft for ischemic cardiomyopathy 9 years earlier, who presented with progressive aortic root dilation, worsening aortic insufficiency, and an incidentally discovered chronic type A aortic dissection limited to the donor aorta. The patient was taken to the operating room, and the aortic dissection successfully repaired using standard reoperative techniques. This is the sixth case reported in the literature, and only the fourth survivor. To our knowledge, this case represents the first successful repair, of a limited aortic dissection of the donor aorta postcardiac transplantation, using a composite valve graft and modified-Cabrol coronary reconstruction.
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Caffarelli et al. (2005) conducted a case report in Cardiac allograft aortic dissection (n=1). Composite valve graft and modified-Cabrol coronary reconstruction was evaluated on Successful repair. Repair of a limited aortic dissection of the donor aorta postcardiac transplantation was successfully performed using a composite valve graft and modified-Cabrol coronary reconstruction.
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