eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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2/2009
vol. 6
 
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abstract:

KARDIOCHIRURGIA DOROSŁYCH
Thoracic aortic aneurysm repair in three patients after heart transplantation: a case series

Jerzy Sadowski
,
Boguslaw Kapelak
,
Karol Wierzbicki
,
Jacek Piatek
,
Krzysztof Wrobel
,
Janusz Konstanty-Kalandyk
,
Krzysztof Bartus
,
Piotr Wegrzyn
,
Mariola Labuz
,
Piotr Przybylowski

Kardiochirurgia i Torakochirurgia Polska 2009; 6 (2): 128–130
Online publish date: 2009/06/30
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Thoracic aortic aneurysm after heart transplantation is a rare but serious complication. The authors describe 3 cases (0.6%)
of thoracic aortic aneurysm during 20 years of follow-up on 485 heart transplant patients at their institution. Dissected and
non-dissected thoracic aortic aneurysms, diagnosed 23 to 38 months post transplantation, were treated with surgical repair
or repeat transplantation. Two patients died postoperatively of multiorgan failure, including one with septic shock. One patient was discharged in good health. Surgical repair of aortic lesions in cardiac allograft patients, including repeat transplantation
in cases of allograft vasculopathy, continue to carry substantial risk to the patient.
keywords:

thoracic; aneurysm, aortic; transplantation, heart; surgery, complications
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