Treatment of Dissecting Aortic Root Aneurysm Complicated by Abscess after Valve Replacement

Abstract

A 41-year-old man with a prosthetic aortic valve developed endocarditis with perivalvular leakage, formation of an abscess, and left ventricular-aortic discontinuity, 16 months after aortic valve replacement. Moreover, he developed a complicated huge dissecting ascending aortic aneurysm with thrombotic occlusion of the right coronary artery. Successful repair of this complicated aortic root lesion was achieved using a composite valved graft and employing coronary bypass grafting.