Combined repair of ascending aortic pseudoaneurysm and abdominal aortic aneurysm: in a patient with Marfan syndrome.
Pseudoaneurysms of the ascending aorta after the original inclusion/wrap technique of the Bentall procedure present a difficult surgical management problem and are associated with substantial morbidity and mortality. Patients with Marfan syndrome frequently develop aneurysms and dissections that involve multiple aortic segments. We present the case of a Marfan patient who successfully underwent repair of a giant ascending aortic pseudoaneurysm and concomitant repair of an abdominal aortic aneurysm. An aggressive surgical strategy followed by life-long cardiovascular monitoring is warranted in order to prolong the survival of these patients.
Kokotsakis
John N
JN
Division of Cardiovascular Surgery, Diagnostic and Therapeutic Center of Athens Hygeia, Athens, Greece. kokotsakis@internet.gr
Lioulias
Achilleas G
AG
Foroulis
Christophoros N
CN
Skouteli
Eleni Anna T
EA
Milonakis
Michael K
MK
Bastounis
Elias A
EA
Boulafendis
Dimitrios G
DG
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D008875:Middle Aged