Aortic dissection late after aortic valve replacement |
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Authors: | Masaru Yoshikai Hiroyuki Ohnishi Keiji Kamohara Noritoshi Minematsu Hideyuki Fumoto Manabu Itoh |
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Affiliation: | (1) Department of Cardiovascular Surgery, Shin-Koga Hospital, 120 Tenjin-cho, 830-8577 Kurume, Fukuoka, Japan |
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Abstract: | We experienced 3 cases of an aortic dissection occurring late after an aortic valve replacement, and sucessfully treated by an aortic root replacement. An aortic dissection involving the ascending aorta can develop late after an aortic valve replacement, and such an occurrence is associated with a high mortality and morbidity. The development of effective surgical strategies at the initial aortic valve surgery, strict control of blood pressure after aortic valve replacement, serial evaluations of aortic size, and the prophylactic replacement of the ascending aorta for patients with aortic dilatation after aortic valve replacement, all play clinically important roles in preventing an aortic dissection after aortic valve replacement. When an aortic dissection occurs in patients with a previous aortic valve replacement, an aortic root replacement should be performed in order to avoid leaving the fragile diseased aortic wall including the sinus of Valsalva. |
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Keywords: | aortic valve replacement aortic dissection aortic root replacement |
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