Heart Failure and Severe Pulmonary Hypertension Sixteen Years After the Cabrol Composite Graft Procedure Caused by Distal Detachment of the Valve Conduit
نویسنده
چکیده
We report a rare complication occurring in a 72 year old patient previously undergone surgical aortic root replacement with Cabrol technique for an aneurysm of the ascending aorta and aortic valve incompetence. Sixteen years later the patient presented progressive congestive heart failure and a left ventricle-to-right atrium shunt due to the distal detachment of the valved tubular graft at level of the suture to the aorta and persistence of the perigraft space-right atrial fistula. Diagnosis was made by transesophageal echocardiography (TEE) and confirmed at surgical inspection. The tubular graft was resutured and normal function was reestablished as confirmed by the TEE control postintervention.
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