Related Experiment Video
Updated: May 25, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Aortic dissections following heart transplantations
Ivo Skalsky1, Marian Urban, Jana Malouskova
1Department of Cardiovascular Surgery, Institute for Clinical and Experimental Medicine, Videnska 1958/9, 140 21 Prague, Czech Republic.
Background:
Aortic dissection in a cardiac allograft is an uncommon complication of heart transplantation with only few cases reported in the literature.
Method:
We report a case of 46-year-old female who underwent orthotopic heart transplantation for dilated cardiomyopathy 22 years earlier. During surveillance echocardiographic examination she was diagnosed with type A aortic dissection limited to the donor aorta. The aortic root was successfully replaced using a valve-sparing David procedure. The pathogenesis and surgical management of these dissections is reviewed.
Conclusion:
Appropriate surgical repair performed in a timely fashion leads to excellent results improving the prognosis of these patients.
Related Concept Videos
Aneurysm III: Interprofessional Care
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic Regurgitation I: Introduction
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aortic Regurgitation III: Medical Management
