False aneurysm occurring after replacement of ascending aorta by a vascular prosthesis is a rare, but life-threatening complication. In spite of advances in endovascular techniques, surgery remains the treatment of ch...False aneurysm occurring after replacement of ascending aorta by a vascular prosthesis is a rare, but life-threatening complication. In spite of advances in endovascular techniques, surgery remains the treatment of choice in the majority of cases. We report the case of a huge pseudoaneurysm caused by late dehiscence of the right coronary ostium-aortic tubular graft anastomosis, occurred 30 years after replacement of aortic valve and ascending aorta by classical Bentall operation. A fistula originating from the aneurysmal sac extended across the sternum into the thoracic subcutaneous soft tissues and gave rise to a pulsatile mass well appreciable on the anterior chest wall. The surgical treatment, consisting of partial resection of the aortic tubular graft and sternal reconstruction was effective and uneventful.展开更多
Background Severe aortic regurgitation is a rare clinical presentation of Behcet＇s disease,but the valve detachment after valve replacement presents challenges to cardiac surgeons.Methods Five patients with prostheti...Background Severe aortic regurgitation is a rare clinical presentation of Behcet＇s disease,but the valve detachment after valve replacement presents challenges to cardiac surgeons.Methods Five patients with prosthetic detachment after aortic valve replacement attributable to Behcet＇s disease were surgically treated between January 2007 and December 2010.These 5 patients （all male） were from 24 to 50 years of age （mean,38.8 ± 9.8）.Mean follow-up duration from index operations was 19.2 ± 12.5 months （range,3-36 months）.Results There was no early death and pseudoaneurysm of the aortic root occurred at index operations.But one patient suffered Ⅲ° AVB and had pacemaker implanted.All the patients were administered immunosuppressive therapies after operation.Conclusion Modified Bentall operation and postoperative immunosuppressive therapy may be helpful for the patients with valve detachment after valve surgery due to Behcet＇s disease.展开更多
文摘False aneurysm occurring after replacement of ascending aorta by a vascular prosthesis is a rare, but life-threatening complication. In spite of advances in endovascular techniques, surgery remains the treatment of choice in the majority of cases. We report the case of a huge pseudoaneurysm caused by late dehiscence of the right coronary ostium-aortic tubular graft anastomosis, occurred 30 years after replacement of aortic valve and ascending aorta by classical Bentall operation. A fistula originating from the aneurysmal sac extended across the sternum into the thoracic subcutaneous soft tissues and gave rise to a pulsatile mass well appreciable on the anterior chest wall. The surgical treatment, consisting of partial resection of the aortic tubular graft and sternal reconstruction was effective and uneventful.
文摘Background Severe aortic regurgitation is a rare clinical presentation of Behcet＇s disease,but the valve detachment after valve replacement presents challenges to cardiac surgeons.Methods Five patients with prosthetic detachment after aortic valve replacement attributable to Behcet＇s disease were surgically treated between January 2007 and December 2010.These 5 patients （all male） were from 24 to 50 years of age （mean,38.8 ± 9.8）.Mean follow-up duration from index operations was 19.2 ± 12.5 months （range,3-36 months）.Results There was no early death and pseudoaneurysm of the aortic root occurred at index operations.But one patient suffered Ⅲ° AVB and had pacemaker implanted.All the patients were administered immunosuppressive therapies after operation.Conclusion Modified Bentall operation and postoperative immunosuppressive therapy may be helpful for the patients with valve detachment after valve surgery due to Behcet＇s disease.
