The online version of this article (doi:10.1186/1749-8090-9-9) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
YS wrote the draft of the manuscript and obtained the written consent. SM, KO, and MK aided in literature search and gave final approval of the manuscript. All authors read and approved the final manuscript.
Occurrence of acute aortic dissection after aortic valve replacement is rare, however, it is associated with high mortality and morbidity rates. We report two Asian cases in which acute aortic dissection occurred after urgent aortic valve replacement for infective endocarditis. Successful graft replacement was carried out with preservation of the prosthetic valves in both cases. Our experience with these cases suggests that, even in urgent or emergent situations, surgical intervention for associated aortic dilatation should be considered when aortic valve replacement is performed.
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