SUCCESSFUL TREATMENT OF AORTIC DISSECTION AFTER HETEROTOPIC HEART-TRANSPLANTATION

Heterotopic heart transplantation is a valid option when there is a la rge donor-recipient size mismatch. However, the presence of the diseas ed native heart can jeopardize the medium-term and long-term outcome. The problems stemming from this most commonly described in the literat ure are thromboembolism, angina, and arrhythmias. In this report, we d escribe the case of a type A aortic dissection in the native aorta tha t occurred 30 months after heterotopic heart transplantation and the s urgical technique successfully applied for its repair. We also discuss some of the alternative techniques.