title: Huge ascending aortic pseudoaneurysm 13 years after Bental surgery with tube graft.
abstract: Pseudoaneurysms of the ascending aorta are rare, disastrous complications of surgical manipulation of the aorta and its surroundings. They frequently require emergency surgical intervention due to a high risk of sudden rupture and hemorrhage. We herein present the case of a pseudoaneurysm (130 mm in diameter) of the ascending aorta with a compressive effect on the left atrium and right coronary artery ostium at the site of a tube graft implanted 13 years previously via the Bental procedure in a 34 year-old man. The susceptibility of these pseudoaneurysms to silently increase in size through the years leads to a delayed diagnosis, with an increased risk of rupture and mortality, necessitating long-term follow-ups with a view to detecting it in the initial stages, when it is easier to perform surgical or endovascular interventions with a lower risk of mortality.
authors: Cardiovascular Surgery Department, Tehran Heart Center, Tehran Uniwersity of Medical Sciences, Iran.
authors: Hossein
authors: H
authors: Ahmadi
authors: Shapour
authors: S
authors: Shirani
authors: Mohammad Saheb
authors: MS
authors: Jam
authors: Ali Mohammad Haji
authors: AM
authors: Zeinali
authors: Parin
authors: P
authors: Yazdanifard
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology; D001011:Aorta / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000209:etiology; D001021:Aortic Valve / Q000601:surgery; D001027:Aortography; D000082882:Bicuspid Aortic Valve Disease; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006330:Heart Defects, Congenital / Q000601:surgery; D006349:Heart Valve Diseases / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed