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Case Reports
. 2024 Nov 27:7:100183.
doi: 10.1016/j.jhlto.2024.100183. eCollection 2025 Feb.

A rare case of Thoracic Aortic Aneurysm repair post Heart Transplantation

Helena Garcia Betinardi Bernardi  1 , Cristhian Espinoza Romero  1 , Vanessa Simioni Faria  1 , Fabiana G Marcondes-Braga  1 , Fabio A Gaiotto  1 , Fernando Bacal  1
Affiliations
Case Reports

A rare case of Thoracic Aortic Aneurysm repair post Heart Transplantation

Helena Garcia Betinardi Bernardi et al. JHLT Open. .

Abstract

During bicaval orthotopic heart transplant (HT), two segments of the aorta are generated, separated by a suture line. Both segments are exposed to the same systemic environment. Nevertheless, it has been observed that aneurysmal disease is confined to one of the segments of aorta. We report here a successful repair of AA, confined to the donor portion of aorta, in a HT recipient after 12 years of transplant.

Keywords: Ascending Aortic Aneurysm; Heart Transplant.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Figure 1
Figure 1
Transthoracic echocardiogram at 2013 (panel A and B) and at 2023 (panel C and D). Panel A depicts the aortic size immediately after heart transplantation (36 mm) and panel B a discrete aortic insufficiency. Panel C shows aortic diameter (56.5 mm) and panel D severe aortic insufficiency at the moment of aortic repair.
Figure 2
Figure 2
Preoperative aortic computed tomography angiography showing the dilation of the ascending aorta limited to the donor segment of the aorta (not crossing the suture line).
See this image and copyright information in PMC

References

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