title: Combination of two pseudoaneurysms in a patient 6 years after ascending aorta and aortic valve replacement.
abstract: BACKGROUND
  We report successful treatment of a patient 6 years after ascending aorta and aortic valve replacement suffering from a combination of two pseudoaneurysms. The first of them originated from the coronary ostial suture line and the second pseudoaneurysm originated from the distal suture line.
  
  
  METHODS
  We performed re-replantation of the left main trunk to the prosthesis and then we resected the pseudoaneurysm originating from the distal suture line and we replaced the entire aorta by a vascular graft.
  
  
  RESULTS
  The postoperative convalescence was uneventful, the patient was discharged two weeks after the surgery. The patient is currently in a very good condition one year after the surgery.
  
  
  CONCLUSIONS
  Coronary ostial pseudoaneurysm in patients after ascending aorta and aortic valve replacement with the use of "button technique" is a quite rare situation. The combination of two pseudoaneurysms originating from different suture lines in one patient seems to be unique in literature reviews.
authors: Department of Cardiac Surgery, University Hospital Ostrava, Czech Republic. radim.brat@fnspo.cz
authors: Radim
authors: R
authors: Brat
authors: Tomas
authors: T
authors: Danek
authors: Vaclav
authors: V
authors: Maly
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged