A mild-to-moderate aortic root aneurysm might be overlooked during the assessment of the donor heart. The use of the Z-score in such cases may be helpful in guiding clinical decision-making. To make a diagnosis of genetic aortopathy, a genetic panel study and matching with clinical criteria such as Ghent nosology are essential. Valve-sparing root reimplantation may be a viable option in cases with aortic root aneurysm developing after heart transplant.
Yun Seok Kim and Joon Bum Kim. (2020). Valve-sparing root reimplantation in a case of progressive aortic root aneurysm after heart transplant. Interactive CardioVascular and Thoracic Surgery, 31(5), 729–731. doi: 10.1093/icvts/ivaa163