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Omar Mangoush
Toufan Bahrami
Fabio De Robertis
Magdi H. Yacoub
Asghar Khaghani
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Right arrow Transplantation - heart

Ann Thorac Surg 2004;78:1821-1823
© 2004 The Society of Thoracic Surgeons

Case report

Regurgitation of the Native Aortic Valve Caused by Thrombus Formation After Heterotopic Heart Transplantation

Omar Mangoush, FRCSa, Toufan Bahrami, MDa, Fabio De Robertisa, Jonathan Swinburn, MRCPa, Nicholas Banner, FRCPa, Magdi H. Yacoub, FRCSa, Asghar Khaghani, FRCSa,*

a Harefield Hospital, Harefield, Middlesex, United Kingdom

Accepted for publication July 17, 2003.

* Address reprint requests to Dr Khaghani, Harefield Hospital, Harefield, Middlesex UB9 6JH, UK
a.khaghani{at}rbh.nthames.nhs.uk

A 61-year-old man, who had undergone heterotopic heart transplantation, had severe regurgitation through his native aortic valve develop 16 years later, which caused severe heart failure. At operation the regurgitation was found to be due to development of an organized thrombus in the sinuses of Valsalva tethering aortic leaflets. The management of this previously undescribed complication of heterotopic heart transplantation and the implications for other groups of patients (such as those receiving treatment with a left ventricular assist device) are discussed.






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Copyright © 2004 by The Society of Thoracic Surgeons.