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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 on theme: "Chest Blunt Trauma: An Uncommon Cause of Aortic Stentless Bioprosthesis Dysfunction  Alberto Repossini, MD, Laura Giroletti, MD, Fabrizio Rosati, MD,"— Presentation transcript:

1 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 (September 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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

3 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  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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

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

6 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  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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

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