Aortic pseudoaneurysm detected on external jugular venous distention following a Bentall procedure 10 years previously.
An asymptomatic 49-year-old woman was admitted for the purpose of surgery for aortic pseudoaneurysm. She had Marfan syndrome and had undergone an emergent Bentall procedure 10 years previously. About six months previously, she could palpate distended bilateral external jugular veins, which became distended only in a supine position and without any other symptoms. Enhanced computed tomography revealed an aortic pseudoaneurysm originating from a previous distal anastomosis site. During induction of general anesthesia in a supine position, bilateral external jugular venous distention was remarkable. Immediately after a successful operation, distention completely resolved. The present case emphasizes the importance of physical examination leading to a diagnosis of asymptomatic life-threatening diseases in patients with a history of previous aortic surgery.
Fukunaga
Naoto
N
Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 4-6 Minatojimanakamachi, Chuo-ku, Kobe, Hyogo 650-0046, Japan. naotowakimachi@hotmail.co.jp
Shomura
Yu
Y
Nasu
Michihiro
M
Okada
Yukikatsu
Y
D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D007601:Jugular Veins / Q000473:pathology*; D008382:Marfan Syndrome / Q000150:complications*; D008875:Middle Aged; D010173:Palpation; D012086:Reoperation; D013479:Superior Vena Cava Syndrome / Q000209:etiology; D016683:Supine Position; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome