Intimal Flap Vegetation Following Aortic Root Re-dissection

Hiroaki Osada; Hiroyuki Nakajima; Katsuaki Meshii; Motoaki Ohnaka

doi:10.12945/j.aorta.2015.15.012

Intimal Flap Vegetation Following Aortic Root Re-dissection

Aorta (Stamford). 2016 Feb 1;4(1):22-24. doi: 10.12945/j.aorta.2015.15.012. eCollection 2016 Feb.

Authors

Hiroaki Osada¹, Hiroyuki Nakajima¹, Katsuaki Meshii¹, Motoaki Ohnaka¹

Affiliation

¹ Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, Nishikyo-ku, Kyoto, Japan.

Abstract

A 75-year-old man who had undergone ascending aorta replacement for acute Type A aortic dissection presented with a recurring high fever. Transesophageal echocardiography revealed that a vegetation had formed on the re-dissected intimal flap of the noncoronary sinus of Valsalva. This didactic case suggests that antibiotic prophylactic measures be considered for aortic dissection flaps as for irregular valves susceptible to infective endocarditis.

Keywords: Aortic dissection; Aortic root reoperation; Vegetation.

Publication types

Case Reports