Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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A Giant Pseudo-Aneurysm on the Anastomosis Site for a Redo Bentall Operation due to Behçet Disease Treated by Thoracic Endovascular Aortic Aneurysm Repair with a Custom-Made Stent Graft

  • Won, Jongyun (Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Jung, Jae Seung (Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Lee, Jun Hee (Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Jung, Young Ki (Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital, Korea University College of Medicine) ;
  • Son, Ho Sung (Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital, Korea University College of Medicine)
  • Received : 2020.02.27
  • Accepted : 2020.06.19
  • Published : 2020.12.05
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Abstract

A 34-year-old man who had undergone aortic valve replacement 8 years ago underwent an additional Bentall operation due to mechanical valve dehiscence 2 years later. Subsequently, he was diagnosed with Behçet disease and Batter syndrome. A week after being hospitalized again due to chest pain and dyspnea, a large pseudo-aneurysm was detected on computed tomography. Because of the excessively large size of the pseudo-aneurysm, surgical treatment seemed very risky. Therefore, we planned to perform thoracic endovascular aortic repair (TEVAR) and treated him successfully. However, the patient experienced recurrence of the same symptoms 4 months later, and was found to have type IV endoleak. He received a TEVAR procedure again, and it was successful.

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References

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