Thorac Cardiovasc Surg 2008; 56(7): 426-428
DOI: 10.1055/s-2007-989493
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Intramural Hematoma of a Cryopreserved Aortic Homograft

L. Botta1 , G. Kloppenburg2 , A. Yilmaz2
  • 1Cardiac Surgery, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • 2Cardiothoracic Surgery, St. Antonius Ziekenhuis, Nieuwegein, Netherlands
Further Information

Publication History

Received October 13, 2007

Publication Date:
22 September 2008 (online)

Introduction

Infective endocarditis involving native valves (NVE) is associated with a lower in-hospital mortality and better prognosis than prosthetic valve endocarditis (PVE) [1]. PVE is a life-threatening surgical complication which can be treated with cryopreserved homografts (CH) since they have shown a good resistance to early re-infection combined with an acceptable long-term durability. Nevertheless the homograft itself can be susceptible to various diseases [2], [3]. In this paper we describe the incidental, intraoperative finding and subsequent treatment of an extensive intramural hematoma (IH) of a cryopreserved homograft already affected by severe post-infective aortic regurgitation. Due to its rarity, there is no general consensus on how best to handle this complex and quite exceptional allograft disease.

References

  • 1 Beynon R P, Bahl V K, Prendergast B D. Infective endocarditis.  BMJ. 2006;  333 (7563) 334-339
  • 2 Gulbins H, Kreuzer E, Reichart B. Homografts: a review.  Expert Rev Cardiovasc Ther. 2003;  1 (4) 533-539
  • 3 Kaya A, Schepens M A, Morshuis W J, Heijmen R H, Brutel de la Riviere A, Dossche K M. Valve-related events after aortic root replacement with cryopreserved aortic homografts.  Ann Thorac Surg. 2005;  79 (5) 1491-1495
  • 4 Niwaya K, Kobayashi J. Medium-term results of aortic valve replacement with cryopreserved homograft valves: importance of a domestic homograft valve bank.  Nippon Geka Gakkai Zasshi. 2007;  108 (2) 85-88
  • 5 Mirelli M, Buzzi M, Pasquinelli G, Tazzari P L, Ricchi E, Conte R, Stella A. Fresh and cryopreserved arterial homografts: immunological and clinical results.  Transplant Proc. 2005;  37 (6) 2688-2691
  • 6 Dieter R S, Kalya A, Pacanowski Jr J P, Migrino R, Gaines T E, Dieter 3rd R A. Acute aortic syndromes: aortic dissections, penetrating aortic ulcers and intramural aortic hematomas.  Expert Rev Cardiovasc Ther. 2005;  3 (3) 423-431
  • 7 Wooley C F, Sparks E H, Boudoulas H. Aortic pain.  Prog Cardiovasc Dis. 1998;  40 563-589

Dr. MD Luca Botta

University of Bologna, S. Orsola-Malpighi Hospital
Cardiac Surgery

Via Massarenti 9

40138 Bologna

Italy

Phone: + 39 05 16 36 33 61

Fax: + 39 0 51 34 59 90

Email: allucbot@tiscali.it

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