Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2004 Nov;90(11):1256-8.
doi: 10.1136/hrt.2003.024307.

Acute type A aortic dissection in a cardiac allograft recipient: case report and review of the literature

C Schellemans  1 , W Tack, M Vanderheyden
Affiliations
Review

Acute type A aortic dissection in a cardiac allograft recipient: case report and review of the literature

C Schellemans et al. Heart. 2004 Nov.

Abstract

Dissection of the ascending aorta is uncommon in cardiac allograft recipients and usually affects the native aorta. The diagnosis is often made at necropsy. The first case is reported of a Bentall procedure performed in a heart transplant recipient who presented with ascending aortic dissection of the donor aorta and concomitant aortic regurgitation seven years after orthotopic transplantation.

PubMed Disclaimer

Figures

Figure 1
Figure 1
(Top) Magnetic resonance image in the sagittal axis of the heart. AD, descending aorta; AP, pulmonary artery; AR, aortic root; LA, left atrium; RV, right ventricle. The arrow indicates aneurysmal dilatation of the ascending aorta. (Bottom) Magnetic resonance image in the transverse axis of the heart. RA, right atrium. The arrow indicates an aortic valve regurgitation jet.
Figure 2
Figure 2
Transoesophageal echocardiograph in the long axis showing the dissection flap of the recipient ascending aorta (Ao).
Figure 3
Figure 3
Microscopical examination. (Top) Cystic medial necrosis together with deposits of alcian blue positive mucopolysaccharides (alcian blue, magnification ×200). (Bottom) Elastic fragmentation in the separated layers of the dissection (elastica, magnification ×200).
See this image and copyright information in PMC

References

    1. Vigano’ M , Rinaldi M, D’Armini AM, et al. The spectrum of aortic complications after heart transplantation. Ann Thorac Surg 1999;68:105–8. - PubMed
    1. Derumeaux G , Habib G, Schleifer DM, et al. Standard orthotopic heart transplantation versus total orthotopic heart transplantation: a transesophageal echocardiography study of the incidence of left atrial thrombosis. Circulation 1995;92 (9 suppl) :H196–201. - PubMed
    1. Sahar G , Stamler A, Erez E, et al. Etiological factors influencing the development of atrioventricular valve incompetence after heart transplantation. Transplant Proc 1997;29:2675–6. - PubMed
    1. De Simone R , Lange R, Sack F-U, et al. Atrioventricular valve insufficiency and atrial geometry after orthotopic heart transplantation. Ann Thorac Surg 1995;60:1686–93. - PubMed
    1. Dreyfus G , Jebara VA, Couetil J, et al. Kinking of the pulmonary artery: a treatable cause of acute right ventricular failure after heart transplantation. J Heart Transplant 1990;9:575–6. - PubMed