Aortic Graft Dehiscence After Valve-Sparing Root Replacement
Postoperative pseudoaneurysm of the left ventricular outflow tract is a rare but potentially lethal complication in patients after valve-sparing root replacement. This report describes a case of postoperative left ventricular outflow tract pseudoaneurysm in a 49-year-old woman with Marfan syndrome a...
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| Veröffentlicht in: | The Annals of thoracic surgery 2019-09, Vol.108 (3), p.e169-e171 |
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| container_title | The Annals of thoracic surgery |
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| creator | Uchida, Tetsuro Hamasaki, Azumi Kuroda, Yoshinori Yamashita, Atsushi Mizumoto, Masahiro Sadahiro, Mitsuaki |
| description | Postoperative pseudoaneurysm of the left ventricular outflow tract is a rare but potentially lethal complication in patients after valve-sparing root replacement. This report describes a case of postoperative left ventricular outflow tract pseudoaneurysm in a 49-year-old woman with Marfan syndrome after valve-sparing aortic root replacement. Four months postoperatively, severe dehiscence of the aortic root graft resulted in a retrosternal giant pseudoaneurysm. She underwent emergency redo aortic root replacement, and the postoperative course was uneventful. Although valve-sparing aortic root replacement for aortic root dilatation is widely accepted, we must consider the possibility of postoperative pseudoaneurysms in patients with Marfan syndrome. |
| doi_str_mv | 10.1016/j.athoracsur.2019.01.036 |
| format | Article |
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This report describes a case of postoperative left ventricular outflow tract pseudoaneurysm in a 49-year-old woman with Marfan syndrome after valve-sparing aortic root replacement. Four months postoperatively, severe dehiscence of the aortic root graft resulted in a retrosternal giant pseudoaneurysm. She underwent emergency redo aortic root replacement, and the postoperative course was uneventful. Although valve-sparing aortic root replacement for aortic root dilatation is widely accepted, we must consider the possibility of postoperative pseudoaneurysms in patients with Marfan syndrome.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2019.01.036</identifier><identifier>PMID: 30794782</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aneurysm, False - diagnostic imaging ; Aneurysm, False - etiology ; Aneurysm, False - surgery ; Aortic Valve Insufficiency - diagnostic imaging ; Aortic Valve Insufficiency - etiology ; Aortic Valve Insufficiency - surgery ; Emergency Treatment ; Female ; Follow-Up Studies ; Heart Valve Prosthesis Implantation - adverse effects ; Heart Valve Prosthesis Implantation - methods ; Humans ; Marfan Syndrome - complications ; Marfan Syndrome - diagnosis ; Middle Aged ; Multidetector Computed Tomography - methods ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - surgery ; Prosthesis Failure ; Recovery of Function ; Reoperation - methods ; Risk Assessment ; Ventricular Outflow Obstruction - diagnostic imaging ; Ventricular Outflow Obstruction - etiology ; Ventricular Outflow Obstruction - surgery</subject><ispartof>The Annals of thoracic surgery, 2019-09, Vol.108 (3), p.e169-e171</ispartof><rights>2019 The Society of Thoracic Surgeons</rights><rights>Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-24c0b7801c375008b824a510f3974136e31463578aae5dbf3f56e71e89e45033</citedby><cites>FETCH-LOGICAL-c440t-24c0b7801c375008b824a510f3974136e31463578aae5dbf3f56e71e89e45033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30794782$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Uchida, Tetsuro</creatorcontrib><creatorcontrib>Hamasaki, Azumi</creatorcontrib><creatorcontrib>Kuroda, Yoshinori</creatorcontrib><creatorcontrib>Yamashita, Atsushi</creatorcontrib><creatorcontrib>Mizumoto, Masahiro</creatorcontrib><creatorcontrib>Sadahiro, Mitsuaki</creatorcontrib><title>Aortic Graft Dehiscence After Valve-Sparing Root Replacement</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Postoperative pseudoaneurysm of the left ventricular outflow tract is a rare but potentially lethal complication in patients after valve-sparing root replacement. This report describes a case of postoperative left ventricular outflow tract pseudoaneurysm in a 49-year-old woman with Marfan syndrome after valve-sparing aortic root replacement. Four months postoperatively, severe dehiscence of the aortic root graft resulted in a retrosternal giant pseudoaneurysm. She underwent emergency redo aortic root replacement, and the postoperative course was uneventful. Although valve-sparing aortic root replacement for aortic root dilatation is widely accepted, we must consider the possibility of postoperative pseudoaneurysms in patients with Marfan syndrome.</description><subject>Aneurysm, False - diagnostic imaging</subject><subject>Aneurysm, False - etiology</subject><subject>Aneurysm, False - surgery</subject><subject>Aortic Valve Insufficiency - diagnostic imaging</subject><subject>Aortic Valve Insufficiency - etiology</subject><subject>Aortic Valve Insufficiency - surgery</subject><subject>Emergency Treatment</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Valve Prosthesis Implantation - adverse effects</subject><subject>Heart Valve Prosthesis Implantation - methods</subject><subject>Humans</subject><subject>Marfan Syndrome - complications</subject><subject>Marfan Syndrome - diagnosis</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography - methods</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - surgery</subject><subject>Prosthesis Failure</subject><subject>Recovery of Function</subject><subject>Reoperation - methods</subject><subject>Risk Assessment</subject><subject>Ventricular Outflow Obstruction - diagnostic imaging</subject><subject>Ventricular Outflow Obstruction - etiology</subject><subject>Ventricular Outflow Obstruction - surgery</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEFOwzAQRS0EoqVwBZQlm4RxbMfOgkUpUJAqIZWKreW6E5oqbYLtVOI2nIWTkaoFlqxGo_l__swjJKKQUKDZ9SoxYVk7Y33rkhRongBNgGVHpE-FSOMsFfkx6QMAi3kuRY-ceb_q2rQbn5IeA5lzqdI-uRnWLpQ2GjtThOgOl6W3uLEYDYuA7uvz1VRbjF8a48rNWzSt6xBNsamMxTVuwjk5KUzl8eJQB2T2cD8bPcaT5_HTaDiJLecQ4pRbmEsF1DIpANRcpdwICgXLJacsQ0Z5xoRUxqBYzAtWiAwlRZUjF8DYgFzt1zaufm_RB73enVlVZoN163VKlRBCgqCdVO2l1tXeOyx048q1cR-agt6x0yv9x07v2GmgumPXWS8PKe18jYtf4w-sTnC7F2D36rZEp70td7AWpUMb9KIu_0_5BtxAhC4</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Uchida, Tetsuro</creator><creator>Hamasaki, Azumi</creator><creator>Kuroda, Yoshinori</creator><creator>Yamashita, Atsushi</creator><creator>Mizumoto, Masahiro</creator><creator>Sadahiro, Mitsuaki</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201909</creationdate><title>Aortic Graft Dehiscence After Valve-Sparing Root Replacement</title><author>Uchida, Tetsuro ; Hamasaki, Azumi ; Kuroda, Yoshinori ; Yamashita, Atsushi ; Mizumoto, Masahiro ; Sadahiro, Mitsuaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-24c0b7801c375008b824a510f3974136e31463578aae5dbf3f56e71e89e45033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aneurysm, False - diagnostic imaging</topic><topic>Aneurysm, False - etiology</topic><topic>Aneurysm, False - surgery</topic><topic>Aortic Valve Insufficiency - diagnostic imaging</topic><topic>Aortic Valve Insufficiency - etiology</topic><topic>Aortic Valve Insufficiency - surgery</topic><topic>Emergency Treatment</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Valve Prosthesis Implantation - adverse effects</topic><topic>Heart Valve Prosthesis Implantation - methods</topic><topic>Humans</topic><topic>Marfan Syndrome - complications</topic><topic>Marfan Syndrome - diagnosis</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography - methods</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - surgery</topic><topic>Prosthesis Failure</topic><topic>Recovery of Function</topic><topic>Reoperation - methods</topic><topic>Risk Assessment</topic><topic>Ventricular Outflow Obstruction - diagnostic imaging</topic><topic>Ventricular Outflow Obstruction - etiology</topic><topic>Ventricular Outflow Obstruction - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Uchida, Tetsuro</creatorcontrib><creatorcontrib>Hamasaki, Azumi</creatorcontrib><creatorcontrib>Kuroda, Yoshinori</creatorcontrib><creatorcontrib>Yamashita, Atsushi</creatorcontrib><creatorcontrib>Mizumoto, Masahiro</creatorcontrib><creatorcontrib>Sadahiro, Mitsuaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Uchida, Tetsuro</au><au>Hamasaki, Azumi</au><au>Kuroda, Yoshinori</au><au>Yamashita, Atsushi</au><au>Mizumoto, Masahiro</au><au>Sadahiro, Mitsuaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic Graft Dehiscence After Valve-Sparing Root Replacement</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2019-09</date><risdate>2019</risdate><volume>108</volume><issue>3</issue><spage>e169</spage><epage>e171</epage><pages>e169-e171</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Postoperative pseudoaneurysm of the left ventricular outflow tract is a rare but potentially lethal complication in patients after valve-sparing root replacement. This report describes a case of postoperative left ventricular outflow tract pseudoaneurysm in a 49-year-old woman with Marfan syndrome after valve-sparing aortic root replacement. Four months postoperatively, severe dehiscence of the aortic root graft resulted in a retrosternal giant pseudoaneurysm. She underwent emergency redo aortic root replacement, and the postoperative course was uneventful. Although valve-sparing aortic root replacement for aortic root dilatation is widely accepted, we must consider the possibility of postoperative pseudoaneurysms in patients with Marfan syndrome.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>30794782</pmid><doi>10.1016/j.athoracsur.2019.01.036</doi></addata></record> |
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| subjects | Aneurysm, False - diagnostic imaging Aneurysm, False - etiology Aneurysm, False - surgery Aortic Valve Insufficiency - diagnostic imaging Aortic Valve Insufficiency - etiology Aortic Valve Insufficiency - surgery Emergency Treatment Female Follow-Up Studies Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - methods Humans Marfan Syndrome - complications Marfan Syndrome - diagnosis Middle Aged Multidetector Computed Tomography - methods Postoperative Complications - diagnostic imaging Postoperative Complications - surgery Prosthesis Failure Recovery of Function Reoperation - methods Risk Assessment Ventricular Outflow Obstruction - diagnostic imaging Ventricular Outflow Obstruction - etiology Ventricular Outflow Obstruction - surgery |
| title | Aortic Graft Dehiscence After Valve-Sparing Root Replacement |
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