Chest Blunt Trauma: An Uncommon Cause of Aortic Stentless Bioprosthesis Dysfunction Alberto Repossini, MD, Laura Giroletti, MD, Fabrizio Rosati, MD,

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Presentation transcript:

Chest Blunt Trauma: An Uncommon Cause of Aortic Stentless Bioprosthesis Dysfunction Alberto Repossini, MD, Laura Giroletti, MD, Fabrizio Rosati, MD, Ermanna Chiari, MD, Giovanni Corsetti, MD, Claudio Muneretto, MD The Annals of Thoracic Surgery Volume 100, Issue 3, Pages 1094-1096 (September 2015) DOI: 10.1016/j.athoracsur.2014.11.014 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative computed tomography scan shows ascending aorta calcifications. The Annals of Thoracic Surgery 2015 100, 1094-1096DOI: (10.1016/j.athoracsur.2014.11.014) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative finding shows tearing between the left and right leaflets (arrow) due to structural prosthesis suture line damage. The Annals of Thoracic Surgery 2015 100, 1094-1096DOI: (10.1016/j.athoracsur.2014.11.014) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Prosthetic leaflets after excision. (LC = left coronary; NC = non coronary; RC = right coronary.) The Annals of Thoracic Surgery 2015 100, 1094-1096DOI: (10.1016/j.athoracsur.2014.11.014) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Preimplant prosthetic leaflet histologic finding (hematoxylin and eosin stain). The Annals of Thoracic Surgery 2015 100, 1094-1096DOI: (10.1016/j.athoracsur.2014.11.014) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Postexplant prosthetic leaflet histologic finding (hematoxylin and eosin stain). Cells and tissue are similar to preimplant findings, without degeneration or calcifications. Amorphous aspecific surface deposits are seen (arrows). The Annals of Thoracic Surgery 2015 100, 1094-1096DOI: (10.1016/j.athoracsur.2014.11.014) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Postexplant prosthetic leaflet histologic finding (Alizarin calcium stain). Very small calcium deposits are seen (arrows). The Annals of Thoracic Surgery 2015 100, 1094-1096DOI: (10.1016/j.athoracsur.2014.11.014) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions