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Ann Thorac Surg 1995;59:990-992
© 1995 The Society of Thoracic Surgeons

Case Reports

Successful Treatment of Aortic Dissection After Heterotopic Heart Transplantation

Luigi Martinelli, MD, Mauro Rinaldi, MD, Carlo Pederzolli, MD, Claudio Goggi, MD, Nicola Pederzolli, MD, Mario Vigano', MD

Cardiothoracic Transplant Center, Department of Cardiac Surgery, I.R.C.C.S. Policlinico S. Matteo, University of Pavia, Pavia, Italy

Accepted for publication July 25, 1994.

Heterotopic heart transplantation is a valid option when there is a large donor--recipient size mismatch. However, the presence of the diseased native heart can jeopardize the medium-term and long-term outcome. The problems stemming from this most commonly described in the literature are thromboembolism, angina, and arrhythmias. In this report, we describe the case of a type A aortic dissection in the native aorta that occurred 30 months after heterotopic heart transplantation and the surgical technique successfully applied for its repair. We also discuss some of the alternative techniques.


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