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[Postoperative diagnosis following separate replacement of an aortic valve and an ascending aorta using IV-DSA and
P Reimer1, P Hendrickx, M Karck
1Abt. Diagnostische Radiologie I, Medizinische Hochschule Hannover.
Abstract:
We performed a follow-up examination by intravenous DSA and dynamic CT of 14 patients with separate replacement of aortic valve and ascending aorta due to an aneurysm or an aortic dissection. In 5 patients, we found an aortic ectasia at the aortic bulb or a perfused "graft inclusion". Both are best demonstrated with dynamic CT. As a result of the study, the operation technique was changed. In the postoperative management of patients with separate replacement of aortic bulb and ascending aorta, careful monitoring by dynamic CT is necessary even in the absence of clinical symptoms.