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Eur J Cardiothorac Surg 2003;24:309-311
© 2003 Elsevier Science NL

Case report

Resection of the ascending aorta and aortic valve patch closure for type A aortic dissection after Novacor^® LVAD insertion

Department of Cardiovascular and Thoracic Surgery, Cliniques Universitaires St-Luc, Avenue Hippocrate 10, B-1200 Brussels, Belgium

Received 27 February 2003; received in revised form 8 April 2003; accepted 15 April 2003.

^* Corresponding author. Tel.: +32-2-764-6107; fax: +32-2-764-8960
e-mail: noirhomme{at}chir.ucl.ac.be

A 60-year-old patient developed an acute type A aortic dissection in the postoperative course of a Novacor^® left ventricular assist device. We performed a resection of the ascending aorta with an aortic valve patch closure, end-to-end anastomosis of the outflow graft to the distal ascending aorta and two venous grafts to the coronary arteries, in order to avoid residual aortic insufficiency and bleeding related to exposure of the fragilized tissues to high pressures.

Key Words: Aortic dissection • Aortic valve • Left ventricular assist device

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