title: Pseudoaneurysm of the left coronary ostial anastomoses as a complication of the modified Bentall procedure diagnosed by echocardiography and multislice computed tomography.
abstract: We report the case of a patient with a pseudoaneurysm of the left coronary ostial anastomoses diagnosed 6 years after a Bentall procedure with coronary button anastomoses had been performed. Preoperatively, the pseudoaneurysm of the ascending aorta was diagnosed by transesophageal echocardiography and multislice tomography, and the diagnosis was confirmed by surgery. Intraoperatively, the dehiscence of the button anastomosis of the left coronary artery was determined. The operative technique for the repair of the left coronary anastomosis dehiscence was direct closure through a sternotomy using extracorporeal circulation. The patient was discharged on the twelfth day without problems. In conclusion, we demonstrated that the patient with a pseudoaneurysm after a conduit operation of the ascending aorta can be prediagnosed by using echocardiography and multislice tomography.
authors: Department of Cardiovascular Surgery, Ataturk University Medical School, Erzurum, Turkey. bilgehanerkut@yahoo.com
authors: Bilgehan
authors: B
authors: Erkut
authors: Münacettin
authors: M
authors: Ceviz
authors: Necip
authors: N
authors: Becit
authors: Fuat
authors: F
authors: Gündogdu
authors: Yahya
authors: Y
authors: Unlü
authors: Mecit
authors: M
authors: Kantarci
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology*; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000209:etiology*; D004452:Echocardiography; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed