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Surgical Repair of Left Coronary Artery Pseudoaneurysm 10 Years after a Bentall's Procudure  

Lee, Sak (Department of Cardiovascular Surgery, Shinchon Severance Hospital, Yonsei University College of Medicine)
Kang, Meyun-Shick (Department of Cardiovascular Surgery, Shinchon Severance Hospital, Yonsei University College of Medicine)
Lim, Sang-Hyun (Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine)
Chang, Byung-Chul (Department of Cardiovascular Surgery, Shinchon Severance Hospital, Yonsei University College of Medicine)
Hong, You-Sun (Department of Cardiovascular Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine)
Publication Information
Journal of Chest Surgery / v.40, no.3, 2007 , pp. 225-227 More about this Journal
Abstract
The aortic inclusion technique is frequently used in the original Bentall's procedure for the control of excessive postoperative bleeding. Although this procedure has improved the outcome of patients with aortic root disease, there is a high incidence of both early and late complications, including coronary artery stenosis, kinking or pseudoaneurysm formation at the coronary suture lines. Pseudoaneurysm of the ascending aorta is a relatively rare, but fatal complication, which occurs after wrap-inclusion composite graft replacement. Herein, the case of a 45-year-old female, who developed a perigraft aortic pseudoaneurysm 10 years after a Bentall's procedure (wrap-inclusion technique), but was successfully managed using the Cabrol's method, is reported.
Keywords
Aneurysm; Bentall operation; Annuloaortic ectasia;
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1 Kazui T, Yamashita K, Terada H, et al. Late reoperation for proximal aortic and arch complications after previous composite graft replacement in Marfan patients. Ann Thorac Surg 2003;76:1203-8   DOI   ScienceOn
2 Song MG. Early result of Bentall operation. Korean J Thorac Cardiovasc Surg 1998;31:113-7
3 Cabrol C, Pavie A, Gandjbakhch I, et al. Complete replacement of the ascending aorta with reimplantation of the coronary arteries. new surgical approach. J Thorac Cardiovasc Surg 1981;81:309-15   PUBMED
4 Mautner SL, Mautner GC, Curry CL, Roberts WC. Massive perigraft aortic aneurysm late after composite graft replacement of the ascending aorta and aortic valve in the Marfan syndrome. Am J Cardiol 1993;71:624-7   DOI   ScienceOn
5 Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax 1968;23:338-9   DOI   ScienceOn
6 Kouchoukos NT, Karp RB, Blackstone EH, Kirklin JW, Pacifico AD, Zorn GL. Replacement of the ascending aorta and aortic valve with a composite graft. results in 86 patients. Ann Surg 1980;192:403-13   DOI   PUBMED   ScienceOn
7 Milano AD, Pratali S, Mecozzi G, et al. Fate of coronary ostial anastomoses after the modified Bentall procedure. Ann Thorac Surg 2003;75:1797-802   DOI   ScienceOn
8 Kim JT, Moon JH, Chang BC, Kang MS, Cho BK, Park MS. Comparison of inclusion technique with open technique in patients with Bentall procedures. Korean J Thorac Cardiovasc Surg 1997;30:506-11