Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an “Elephant Trunk”

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 fo...

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Autores principales: Scaffa, Raffaele, Torre, Mario, Longobardi, Antonio, Ferrara, David, Vassallo, Maria G., Itri, Francesco, Coscioni, Enrico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654511/
https://www.ncbi.nlm.nih.gov/pubmed/34879402
http://dx.doi.org/10.1055/s-0041-1732399
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author Scaffa, Raffaele
Torre, Mario
Longobardi, Antonio
Ferrara, David
Vassallo, Maria G.
Itri, Francesco
Coscioni, Enrico
author_facet Scaffa, Raffaele
Torre, Mario
Longobardi, Antonio
Ferrara, David
Vassallo, Maria G.
Itri, Francesco
Coscioni, Enrico
author_sort Scaffa, Raffaele
collection PubMed
description 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.
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spelling pubmed-86545112021-12-09 Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an “Elephant Trunk” Scaffa, Raffaele Torre, Mario Longobardi, Antonio Ferrara, David Vassallo, Maria G. Itri, Francesco Coscioni, Enrico Aorta (Stamford) 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. Thieme Medical Publishers, Inc. 2021-12-08 /pmc/articles/PMC8654511/ /pubmed/34879402 http://dx.doi.org/10.1055/s-0041-1732399 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Scaffa, Raffaele
Torre, Mario
Longobardi, Antonio
Ferrara, David
Vassallo, Maria G.
Itri, Francesco
Coscioni, Enrico
Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an “Elephant Trunk”
title Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an “Elephant Trunk”
title_full Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an “Elephant Trunk”
title_fullStr Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an “Elephant Trunk”
title_full_unstemmed Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an “Elephant Trunk”
title_short Giant Distal Anastomotic Pseudoaneurysm 35 Years after Bentall Operation Mimicking an “Elephant Trunk”
title_sort giant distal anastomotic pseudoaneurysm 35 years after bentall operation mimicking an “elephant trunk”
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8654511/
https://www.ncbi.nlm.nih.gov/pubmed/34879402
http://dx.doi.org/10.1055/s-0041-1732399
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