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Wayne Derkac, MD; Hillel Laks, MD; Lawrence H. Cohn, MD; John J. Collins, Jr., MD

AMA Arch Surg. 1974;109(3):388-390.

Abstract
Dissecting aneurysm has been observed as a late complication of aortic valve replacement in three patients. The frequency of this potentially catastrophic problem is reviewed as well as the predisposing hemodynamic factors. The use of central flow valves in patients with cystic medial necrosis, elective ascending aortic replacement or reinforcement, and control of hypertension may help to prevent late dissection.

Author Affiliations
From the Department of Surgery, Harvard Medical School, and the Division of Thoracic and Cardiac Surgery, Peter Bent Brigham Hospital, Boston.

Footnotes
Accepted for publication March 11, 1974.

Reprint requests to Division of Thoracic and Cardiac Surgery, Peter Bent Brigham Hospital, 721 Huntington Ave, Boston, MA 02115 (Dr. Collins).

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