[Pseudoaneurysm as a complication of the reconstruction of the ascending aorta using valved graft: periannular dehiscence simulating severe aortic insufficiency].
The development of a pseudoaneurysms of the ascending aorta is a potential complication after composite grafts surgery for combined disorders that simultaneously affect the aortic valve and ascending aorta. Pseudoaneurysm has been reported to range from 7% to 25% of cases, and it is due to dehiscence of the suture line at anastomosis. Clinical spectrum, which depends on the location of this dehiscence varies from the totally asymptomatic patient to one with NYHA class IV heart failure, with the possibility of its clinical status rapidly worsening. We report a case of progressive haemodynamic deterioration as a consequence of a peri-annular dehiscence that led to a significant regurgitant volume from the pseudoaneurysm cavity to the left ventricle mimicking a severe aortic insufficiency. The role of echocardiography is reviewed in the diagnosis and the management of complications, as well as the necessary follow up of patients with composite aortic grafts.
Valenzuela García
L F
LF
Servicio de Cardiología, Hospital Virgen Macarena. luisfe2.arrakis.es
Gallego García de Vinuesa
P
P
Guerrero de Mier
M
M
Beltrán
J
J
Araji
O
O
Barquero Aroca
J M
JM
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology*; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000209:etiology*; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000175:diagnosis*; D001807:Blood Vessel Prosthesis; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D013537:Sutures / Q000009:adverse effects