Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an "Elephant Trunk".
Raffaele ScaffaMario TorreAntonio LongobardiDavid FerraraMaria G VassalloFrancesco ItriEnrico CoscioniPublished in: Aorta (Stamford, Conn.) (2021)
We present the case of a giant distal aortic pseudoaneurysm 35 years after a classic mechanical Bentall operation. Computed tomography and coronary angiography showed that this originated from the distal suture line. The proximal suture and coronary ostia appeared to be intact. At reoperation, we found a complete dehiscence of distal suture line: the graft was floating in the pseudoaneurysm, mimicking an "elephant trunk" procedure. This complication suggested a systematic and accurate follow-up of patients who underwent an original Bentall procedure.
Keyphrases
- minimally invasive
- computed tomography
- end stage renal disease
- ejection fraction
- newly diagnosed
- endovascular treatment
- coronary artery
- chronic kidney disease
- coronary artery disease
- prognostic factors
- aortic valve
- peritoneal dialysis
- rectal cancer
- left ventricular
- lower limb
- pulmonary artery
- rare case
- aortic stenosis
- pulmonary hypertension