Title

A previously unreported complication of apicoaortic conduit for severe aortic stenosis

Document Type

Article

Date of Publication

3-2009

Publication Title

The Annals of Thoracic Surgery

First Page

927

Last Page

928

Abstract

Given the aging population, use of an apicoaortic conduit serves as an alternative method to treat severe aortic stenosis, especially in patients with a heavily calcified ascending aorta or prior cardiac surgery. Although an apicoaortic conduit fractionates systemic blood flow, it does so without significant deleterious effects. However, we report a novel complication with thrombosis of the aortic root and subsequent coronary insufficiency that likely resulted from a preponderance of cardiac output though the apicoaortic conduit with stagnation of native antegrade blood flow. Given increasing use of the apicoaortic conduit procedure, surgeons considering this approach should be familiar with this potential complication.

DOI

https://doi.org/10.1016/j.athoracsur.2008.07.061

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