Published in:
01-07-2019 | Case report
Early aortic dissection after aortic valve replacement with a Perceval sutureless bioprosthesis
Authors:
Giosuè Falcetta, Stefano Pratali, Giacomo Ravenni, Uberto Bortolotti
Published in:
Indian Journal of Thoracic and Cardiovascular Surgery
|
Issue 3/2019
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Abstract
We report a patient who developed ascending aorta dissection after aortic valve replacement with a Perceval sutureless pericardial bioprosthesis, a previously not reported complication with this device. At reoperation, the intimal tear was located at the aortotomy suture line; the tips of the nitinol stent were far from the aortic lesion which therefore was not attributable to the presence of this specific prosthetic model. Nevertheless, a previous report of aortic dissection due to erosion of the aortic wall by the strut of a transcatheter prosthesis may raise the suspicion that such complication could also occur with sutureless prostheses of similar design.