A case of acute heart failure due to giant aortic pseudoaneurysm with fistulization to the right ventricle after a modified Bentall operation.
Simultaneous en bloc replacement of the ascending aorta and aortic valve by a composite valve graft, as first described by Bentall and De Bono in 1968 and with later modifications, has become the standard surgical technique in the treatment of aneurysms of the aortic root associated with severe aortic valve dysfunction. Despite the good surgical results overall, it is still associated with considerable perioperative mortality and with dire complications in the long run. We report a case of a giant aortic pseudoaneurysm compressing the right heart chambers and communicating with the right ventricle presenting as rapidly progressing heart failure a few months after a Bentall operation.
Almeida
Rui
R
Department of Cardiology, Hospital S João, Alameda Prof Hernâni Monteiro, 4200-319 Porto, Portugal. ruitalmeida@netcabo.pt
Pinho
Teresa
T
Oliveira
Nuno P
NP
Almeida
Jorge
J
Macedo
Filipe
F
Sousa
António R
AR
Maciel
M Júlia
MJ
D000208:Acute Disease; D017541:Aneurysm, False / Q000150:complications* / Q000209:etiology / Q000503:physiopathology; D001018:Aortic Diseases / Q000150:complications* / Q000209:etiology / Q000503:physiopathology; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects*; D006333:Heart Failure / Q000209:etiology* / Q000503:physiopathology; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D016157:Vascular Fistula / Q000150:complications* / Q000209:etiology / Q000503:physiopathology; D018497:Ventricular Dysfunction, Right / Q000150:complications* / Q000209:etiology / Q000503:physiopathology