Successful Treatment of Aortic Root Aneurysm After Orthotopic Heart Transplantation: Case Report

被引：6

作者：

Chen, I. -C. ^{[1
]}

Wei, J. ^{[1
]}

Chang, C. -Y. ^{[1
]}

Chuang, Y. -C. ^{[1
]}

Lee, S. -L. ^{[1
]}

Lee, W. -C. ^{[1
]}

机构：

[1] Cheng Hsin Gen Hosp, Ctr Heart, Cheng Hsin Rehabil Med Ctr, Taipei 112, Taiwan

来源：

TRANSPLANTATION PROCEEDINGS | 2008年 / 40卷 / 08期

关键词：

D O I：

10.1016/j.transproceed.2008.08.054

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Aortic root aneurysm after orthotopic heart transplantation (HTx) is rare. It may originate from cystic medial necrosis of the donor heart aorta. Herein we have reported a 64-year-old man who received an orthotopic HTx due to dilated cardiomyopathy. Although asymptomatic, follow-up echocardiography revealed dilatation of the aortic root and severe aortic regurgitation at 3 years after the transplantation. He underwent a Bentall procedure with a prosthetic valved conduit. The post-operative course was uneventful. This case demonstrated that a heart-transplant recipient with a late aortic root aneurysm can be successfully treated with an excellent outcome.

引用

页码：2852 / 2853

页数：2

共 13 条

[1]

BOUCEK MM, 1993, J HEART LUNG TRANSPL, V12, pS186

[2] Cardiac allograft aortic dissection: Successful repair using a composite valve graft and modified-cabrol coronary reconstruction [J].

Caffarelli, AD ;

Fann, JI ;

Salerno, CT ;

Johnson, F ;

Jenkins, DD ;

O'Bannon, L ;

Burdon, TA .

JOURNAL OF CARDIAC SURGERY, 2005, 20 (05) :450-452

[3] Donor heart selection: the outcome of "unacceptable" donors [J].

Khasati, Noman H. ;

Machaal, Ali ;

Barnard, Jim ;

Yonan, Nizar .

JOURNAL OF CARDIOTHORACIC SURGERY, 2007, 2 (1)

[4] Successful treatment of acute dissection of the donor aorta after orthotopic heart transplantation [J].

Korkut, AK ;

Wellens, F ;

Foubert, L ;

Goethals, M .

JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2003, 22 (06) :701-704

[5] Marginal cardiac allografts do not have increased primary graft dysfunction in alternate list transplantation [J].

Lima, Brian ;

Rajagopal, Keshava ;

Petersen, Rebecca P. ;

Shah, Ashish S. ;

Soule, Beth ;

Felker, G. Michael ;

Rogers, Joseph G. ;

Lodge, Andrew J. ;

Milano, Carmelo A. .

CIRCULATION, 2006, 114 :I27-I32

[6]

LOWER R R, 1960, Surg Forum, V11, P18

[7] Aortic root aneurysm due to donor cystic medial degeneration after heart-lung transplantation [J].

Nwakanma, Lois U. ;

Vricella, Luca A. ;

Conte, John V. ;

Robbins, Robert C. .

JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2006, 25 (10) :1273-1275

[8] Marfanoid aneurysm in donor aorta after transplantation [J].

Pathi, VL ;

Pillay, TM ;

Wheatley, DJ ;

Belcher, PR ;

Naik, SK .

ANNALS OF THORACIC SURGERY, 1997, 63 (06) :1770-1771

[9] Acute type A aortic dissection in a cardiac allograft recipient: case report and review of the literature [J].

Schellemans, C ;

Tack, W ;

Vanderheyden, M .

HEART, 2004, 90 (11) :1256-1258

[10] Registry of the International Society for Heart and Lung Transplantation: Twenty-fourth official adult heart transplant report - 2007 [J].

Taylor, David O. ;

Edwards, Leah B. ;

Boucek, Mark M. ;

Trulock, Elbert P. ;

Aurora, Paul ;

Christie, Jason ;

Dobbels, Fabienne ;

Rahmel, Axel O. ;

Keck, Berkeley M. ;

Hertz, Marshall I. .

JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2007, 26 (08) :769-781

← 1 2 →