False aneurysm of the ascending aorta after surgery for Marfan's syndrome. Report of a case and review of the literature.
A case is described in which false aneurysm of the ascending aorta developed following corrective surgery for Marfan's syndrome. During the initial procedure, a dissecting aortic aneurysm and incompetent aortic valve were managed by replacing the valve with a Starr-Edwards prosthesis and the ascending aorta with a woven Dacron aortic prosthesis. Two years later the operation was repeated with the use of antibiotic cover, because the patient developed a paraprosthetic leak following subacute bacterial endocarditis with Staphylococcus aureus. The woman remained well for 6 months, after which she developed a false aneurysm of the ascending aorta and aortic incompetence which necessitated repeating the operation for a third time. The patient remains well one year later. Relevant literature available on false aneurysm of the ascending aorta is also reviewed.
D000328:Adult; D001011:Aorta; D001014:Aortic Aneurysm / Q000209:etiology*; D001021:Aortic Valve; D004697:Endocarditis, Bacterial; D006350:Heart Valve Prosthesis; D006801:Humans; D008382:Marfan Syndrome / Q000601:surgery*; D011183:Postoperative Complications; D019736:Prostheses and Implants / Q000009:adverse effects; D013203:Staphylococcal Infections