Successful Management of Dissection of the Aortic Root during Aortic Valve Replacement

P. Eigel; H. Hopp; M. Sold; O. Elert

doi:10.1055/s-2007-1020384

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Thorac Cardiovasc Surg 1986; 34(2): 92-93
DOI: 10.1055/s-2007-1020384

Case Report

Successful Management of Dissection of the Aortic Root during Aortic Valve Replacement

P. Eigel¹ , H. Hopp¹ , M. Sold² , O. Elert¹

¹Department of Thoracic and Cardiovascular Surgery
²Department of Anesthesiology, University of Würzburg, FRG

Further Information

Publication History

1985

Publication Date:
19 March 2008 (online)

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Summary

We present a case of intraoperative dissection of the aortic root in a patient with non-calcified aortic valve incompetence. This complication led to life-threatening bleeding from the dissection line into the layers of the left ventricle as well as the aortic wall with formation of an increasing subadventitial hematoma. The only possible management was to remove the valve prosthesis and to dose the entry site of the dissection when reinserting the valve implant. The mechanism of this complication is discussed.

Key words

Aortic valve replacement - Complication - Surgical management

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