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Aortic valve replacement in a diseased bicuspid valve eleven years after transplantation

^a Department of Surgery, The Johns Hopkins Hospital, Blalock 618, 600 North Wolfe Street, Baltimore, MD 21287-4618, USA
^b Department of Cardiology, The Johns Hopkins Hospital, Carnegie 568, 600 North Wolfe Street, Baltimore, MD 21287, USA

*Corresponding author. Tel.: +1-410-955-1753; fax: +1-410-955-3809.

E-mail address: djoyce4{at}jhmi.edu (D.L. Joyce).

Cardiac allotransplantation is subject to a number of chronic complications that may limit graft survival. These include allograft coronary artery disease, renal dysfunction, hypertension, and malignancy, which are largely due to the immuno-modulatory and adverse effects of transplant medications. Reoperation for native allograft disease progression is a rarer phenomenon. We report a case of aortic valve replacement for bicuspid aortic valve stenosis that occurred in a patient more than ten years after cardiac transplantation.

Key Words: Cardiac transplantation; Aortic valve replacement; Marginal donor organs; Echocardiography; Bicuspid aortic valve; Donor organ screening