We report the case of a 60-year-old man undergone an aortic valve replacement with a Smeloff-Cutter prosthesis 40 years ago. The patient underwent a redo aortic valve and ascending aortareplacement for ascending aorta aneurysm that intraoperatively appeared as a chronic Type Aaortic dissection. The Smeloff-Cutter prosthesis looked intact and functionally normal. Theascending portion of the aorta appeared dissected two centimeters above the sino-tubularjunction, between the non-coronary and the left coronary valsalva sinuses: we speculate thatSmeloff-Cutter prosthesis may contribute, due to its rheology and features, to the determinismof aortic dilatation and subsequently dissection.
We report the case of a 60-year-old man undergone an aortic valve replacement with a Smeloff- Cutter prosthesis 40 years ago. The patient underwent a redo aortic valve and ascending aorta replacement for ascending aorta aneurysm that intraoperatively appeared as a chronic Type A aortic dissection. The Smeloff-Cutter prosthesis looked intact and functionally normal. The ascending portion of the aorta appeared dissected two centimeters above the sino-tubular junction, between the non-coronary and the left coronary valsalva sinuses: we speculate that Smeloff-Cutter prosthesis may contribute, due to its rheology and features, to the determinism of aortic dilatation and subsequently dissection.
Type A Chronic Aortic Dissection in 40-Years Old Smeloff-Cutter Aortic Valve
GRECO, Ernesto;
2014-01-01
Abstract
We report the case of a 60-year-old man undergone an aortic valve replacement with a Smeloff-Cutter prosthesis 40 years ago. The patient underwent a redo aortic valve and ascending aortareplacement for ascending aorta aneurysm that intraoperatively appeared as a chronic Type Aaortic dissection. The Smeloff-Cutter prosthesis looked intact and functionally normal. Theascending portion of the aorta appeared dissected two centimeters above the sino-tubularjunction, between the non-coronary and the left coronary valsalva sinuses: we speculate thatSmeloff-Cutter prosthesis may contribute, due to its rheology and features, to the determinismof aortic dilatation and subsequently dissection.| File | Dimensione | Formato | |
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