TITLE:
Successful Surgical Treatment of a Giant Mediastinal False Aneurysm 30 Years after Bentall Operation
AUTHORS:
Vincenzo Smorto, Massimo Longo, Paolo Pisi, Marco Meli, Luca Massarenti, Paolo Giovanardi, Guglielmo Stefanelli
KEYWORDS:
Re-Do Aortic Surgery, False Aneurysm of the Ascending Aorta, Bentall Operation
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.6 No.3,
March
18,
2016
ABSTRACT: 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.