Acquired supravalvar aortic stenosis following heart transplantation: report of 2 cases

The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation
Alan G RoseLeslie W Miller

Abstract

We report 2 cases of acquired supravalvar aortic stenosis (SVAS) complicating orthotopic cardiac transplantation that contributed to the post-operative death of both patients. In the first patient the stenosis resulted from kinking of a too-long graft aortic component that was rendered into a fixed deformity by healed mediastinitis and constrictive pericarditis. Supra-aortic stenosis in the second patient occurred at a site of multiple aortic cannulations that was surrounded by dense fibrosis. Acquired SVAS contributed to the death of the first patient (who had graft arteriopathy) and was the proximate cause of death in the second patient. Specific echocardiography of the ascending aorta, which is not routinely performed, may detect SAVS.

References

Nov 30, 2000·Current Treatment Options in Cardiovascular Medicine·D A Orsinelli, C J Daniels

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Citations

Oct 7, 2009·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Ramesh BansalLeonard Bailey
Nov 21, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Michael Ragosta
Jan 18, 2005·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Ravi K RamanaRobert Lichtenberg
Sep 16, 2011·International Journal of Cardiology·L Di MarcoR Di Bartolomeo
Sep 26, 2020·European Heart Journal. Case Reports·Vincent Tchana-SatoJean Olivier Defraigne

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