Document Detail

Aortic root bentall graft disarticulation following repair of type a aortic dissection.
MedLine Citation:
PMID:  20380674     Owner:  NLM     Status:  MEDLINE    
A 47-year-old man presented with chest pain and was found to have an ascending aortic dissection. He underwent aortic arch resection and replacement with a hemishield tube graft with a valve conduit, better known as the Bentall technique. Five months later he presented with shortness of breath. A transesophageal echocardiogram revealed near-complete dehiscence of the mechanical valve conduit and a periaortic root abscess. He underwent removal of the conduit and placement of a homograft aortic root and valve. One month later he developed rigors. A transthoracic echocardiogram showed worsening systolic function and a periaortic hematoma or abscess. Serial transthoracic echocardiograms revealed increasing size in the periaortic echogenic free space and subsequent evidence of flow from the left ventricle into the periaortic space. He was determined not to be a surgical candidate and discharged to hospice in fair condition. He subsequently expired.
Kevin Stiver; Melike Bayram; David Orsinelli
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  27     ISSN:  1540-8175     ISO Abbreviation:  Echocardiography     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-04-12     Completed Date:  2010-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E27-9     Citation Subset:  IM    
Ohio State University Medical Center, Columbus, Ohio 43210, USA.
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MeSH Terms
Aneurysm, Dissecting / complications*,  surgery*
Aortic Aneurysm / complications*,  surgery*
Aortitis / etiology*,  surgery*
Blood Vessel Prosthesis / adverse effects*
Device Removal
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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