A case report of transcatheter closure of post-Bentall ascending aortic pseudoaneurysm due to coronary button dehiscence.

ABSTRACT:

Background

Ascending aortic pseudoaneurysm due to coronary button dehiscence is a rare, yet life-threatening complication of reconstructive cardiac surgery. Because of its rare entity, large data are lacking, and therefore, treatment guidelines are missing.

Case summary

We describe a case of a 53-year-old male with a past medical history of ascending aortic aneurysm and severe aortic regurgitation who underwent Bentall procedure with 26 mm conduit and mechanical aortic valve 1 year before. Follow-up chest computed tomography (CT) revealed coronary button dehiscence with a giant aortic root pseudoaneurysm and mural thrombus inside. Given the risk of rupture, the heart team decided to go for a percutaneous approach. Based on a pre-interventional 3D reconstructed CT scan and gu

SUBMITTER: Lin HC 

PROVIDER: S-EPMC10656753 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature