Two Cases of Pseudoaneurysms in Multiple Anastomotic Sites Occurring after the Original Bentall and Cabrol Procedure
10.4326/jjcvs.41.188
- VernacularTitle:Inclusion 法を用いた大動脈基部置換術後遠隔期に繰り返す仮性動脈瘤を認めた2例
- Author:
Tomoyasu Sasaki
;
Hayato Konishi
;
Yoshikazu Motohashi
;
Hiroaki Uchida
;
Mari Kakita
;
Eiki Woo
;
Sachiko Kanki
;
Masahiro Daimon
;
Hideki Ozawa
;
Takahiro Katsumata
- Publication Type:Journal Article
- Keywords:
original Bentall;
original Cabrol;
pseudoaneurysm
- From:Japanese Journal of Cardiovascular Surgery
2012;41(4):188-190
- CountryJapan
- Language:Japanese
-
Abstract:
We report two cases of pseudoaneurysms occurring at the anastomotic sites that had to be repaired several times after the original Bentall and Cabrol procedure. Case 1. A 62-year-old man had surgery to repair pseudoaneurysms at the anastomotic sites of the distal ascending aorta and right coronary artery 22 years after undergoing the original Bentall procedure. The anastomosis of the left coronary artery was normal at the time of the operation ; however, he was given a diagnosis of a pseudoaneurysm at the anastomotic site of the left coronary artery 2 years after the operation. Case 2. A 61-year-old man with Marfan syndrome underwent surgery twice to repair pseudoaneurysms at the anastomotic sites of the aortic annulus and the left coronary artery 2 and 11 years, respectively, after the original Cabrol procedure. In addition, 23 years after the Cabrol procedure, he was given a diagnosis of a pseudoaneurysm at the anastomotic site of the distal ascending aorta. Their pseudoaneurysms were successfully treated by the reanastomosis of new grafts. Computed tomography detected no recurrence of the pseudoaneurysm in the follow-up period. However, continual close observation for the recurrence of a pseudoaneurysm in the remaining anastomotic sites is necessary.
