Abstract
We describe a rare case of an ascending aortic pseudoaneurysm detected incidentally at coronary angiography in a 64-year-old man with a history of a Bentall procedure 8 years previously. The patient underwent reoperation, with longitudinal opening and cleaning of the aortic pseudoaneurysm and graft repair of the defect. This report highlights the insidious late onset of pseudoaneurysm and the importance of its detection and treatment.
Highlights
We describe a rare case of an ascending aortic pseudoaneurysm detected incidentally at coronary angiography in a 64-year-old man with a history of a Bentall procedure 8 years previously
Aortic root angiography showed an aortic pseudoaneurysm originating from the right coronary artery (RCA)-saphenous graft proximal anastomosis site in the proximal ascending aorta
At operation an anastomosis dehiscence between the aortic graft and native aorta with a 5 cm defect was observed and the defect was repaired with an interposition Dacron graft
Summary
We describe a rare case of an ascending aortic pseudoaneurysm detected incidentally at coronary angiography in a 64-year-old man with a history of a Bentall procedure 8 years previously. Yavuzer Koza, MD1*, Ugur Kaya, MD2, Muhammed Hakan Tas, MD1, Ziya Simsek, MD1 The patient underwent reoperation, with longitudinal opening and cleaning of the aortic pseudoaneurysm and graft repair of the defect. Key Words Aortic pseudoaneurysm · Bentall procedure
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