心血管疾患と診断

Pseudoaneurysm of the Ascending Aorta Following Bentall Procedure

Abstract

Vaclav Hanak, Martin Troubil, Petr Santavy, Vladimir Lonsky

We report the case of young man with acute aortic dissection type A treated by Bentall operation. Postoperatively the patient was febrile and echocardiography revealed fluid collection around the aortic graft. Indicated surgery revealed sterile perigraft seroma which recurred after reoperation, Corticosteroids were therefore administered. Ten months after the Bentall operation the patient was treated for pneumonia with sepsis and incidentally an asymptomatic aortic pseudoaneurysm was revealed. Successful re-Bentall operation was performed and the patient finally discharged. We presume the postoperative perigraft seroma appearance and subsequent corticosteroid administration predisposed this patient to pseudoaneurysm development, tissue glue usage was also considered.