Vol 18, No 2 (2011)
Case Reports
Published online: 2011-03-10

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Huge ascending aortic pseudoaneurysm 13 years after Bental surgery with tube graft

Hossein Ahmadi, Shapour Shirani, Mohammad Saheb Jam, Ali Mohammad Haji Zeinali, Parin Yazdanifard
Cardiol J 2011;18(2):185-188.

Abstract

Pseudoaneurysms of the ascending aorta are rare, disastrous complications of surgical manipulation of the aorta and its surroundings. They frequently require emergency surgical intervention due to a high risk of sudden rupture and hemorrhage. We herein present the case of a pseudoaneurysm (130 mm in diameter) of the ascending aorta with a compressive effect on the left atrium and right coronary artery ostium at the site of a tube graft implanted 13 years previously via the Bental procedure in a 34 year-old man. The susceptibility of these pseudoaneurysms to silently increase in size through the years leads to a delayed diagnosis, with an increased risk of rupture and mortality, necessitating long-term follow-ups with a view to detecting it in the initial stages, when it is easier to perform surgical or endovascular interventions with a lower risk of mortality. (Cardiol J 2011; 18, 2: 185-188)

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