Combination of two pseudoaneurysms in a patient 6 years after ascending aorta and aortic valve replacement.
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.
Brat
Radim
R
Department of Cardiac Surgery, University Hospital Ostrava, Czech Republic. radim.brat@fnspo.cz
Danek
Tomas
T
Maly
Vaclav
V
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