Dislocated wrap after previous reduction aortoplasty causes erosion of the ascending aorta

Ann Thorac Surg. 2003 Feb;75(2):583-4. doi: 10.1016/s0003-4975(02)04338-2.

Abstract

We report a patient with bicuspid aortic valve and dilatation of the ascending aorta who had previous aortic valve replacement and reduction aortoplasty with wrapping. After 4 years, reoperation because of coronary artery disease and paravalvular leakage revealed an erosion of the aortic wall due to dislocation of the wrap. This complication confirms the need for secure anchoring and good fitting of the Dacron wrap to avoid alterations of the underlying aortic wall.

Publication types

  • Case Reports

MeSH terms

  • Aorta / pathology*
  • Aorta / surgery*
  • Aortic Valve / abnormalities*
  • Blood Vessel Prosthesis Implantation
  • Cardiac Surgical Procedures / adverse effects*
  • Dilatation, Pathologic
  • Heart Valve Prosthesis Implantation
  • Humans
  • Male
  • Middle Aged
  • Polyethylene Terephthalates
  • Prostheses and Implants / adverse effects*
  • Prosthesis Failure

Substances

  • Polyethylene Terephthalates