Multiple Anastomotic Dehiscences After the Bentall Procedure for Aortitis Syndrome.

Abstract

A 53-year-old man with aortitis was transferred to the current hospital for severe cardiogenic shock. He had undergone the Bentall procedure for annulo-aortic ectasia at the age of 30 years and had received steroid therapy following the diagnosis of aortitis. The preoperative 12-lead electrocardiogram showed ST-segment elevation in lead aVR with diffuse ST-segment depression, suggesting coronary malperfusion. Computed tomography (CT) images demonstrated a retrosternal super-giant pseudoaneurysm (Figure 1A-C) and dehiscence of the distal end of the composite graft from the native aorta (Figure 1B).