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Thorac Cardiovasc Surg 1986; 34(2): 92-93
DOI: 10.1055/s-2007-1020384
DOI: 10.1055/s-2007-1020384
Case Report
© Georg Thieme Verlag Stuttgart · New York
Successful Management of Dissection of the Aortic Root during Aortic Valve Replacement
Further Information
Publication History
1985
Publication Date:
19 March 2008 (online)
Summary
We present a case of intraoperative dissection of the aortic root in a patient with non-calcified aortic valve incompetence. This complication led to life-threatening bleeding from the dissection line into the layers of the left ventricle as well as the aortic wall with formation of an increasing subadventitial hematoma. The only possible management was to remove the valve prosthesis and to dose the entry site of the dissection when reinserting the valve implant. The mechanism of this complication is discussed.
Key words
Aortic valve replacement - Complication - Surgical management