[Aortic dissection (DeBakey type I) associated with pseudoaneurysm 21 years after aortic valve replacement; report of a case].
We report a case of 63-year-old male who suffered from aortic dissection associated with pseudoaneurysm 21 years after aortic valve replacement. Preoperative computed tomography (CT) scan and aortography revealed DeBakey type I dissecting aneurysm with maximum diameter of 70 mm on ascending aorta and calcified pseudoaneurysm at previous aortotomy. He underwent modified Bentall procedure preserving previous mechanical valve and total aortic arch replacement with elephant trunk technique. Postoperative course was uneventful.
Department of Cardiovascular Surgery, Yamanashi Central Hospital, Kofu, Japan.
Masato
M
Nakajima
K
K
Tsuchiya
K
K
Kobayashi
H
H
Amano
K
K
Takizawa
D000784:Aortic Dissection / Q000601:surgery*; D017541:Aneurysm, False / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures / Q000379:methods; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors