| A Case of Ascending Aorta Pseudoaneurysm
due to a Freestyle-Valve Free-Wall Fistula after a Modified Bentall
Procedure with the Button Technique |
(Department of Cardiovascular Surgery, Koshigaya
Hospital, Dokkyo University School of Medicine, Koshigaya, Japan)
| Masahito Saito |
Yoshihito Irie |
Souichi Shioguchi |
| Shigeyoshi Gon |
Nobuaki Kaki |
Hiroshi Kiyama |
| Takao Imazeki |
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|
We encountered a case of ascending
aorta pseudoaneurysm due to a Freestyle-valve free-wall
fistula after a modified Bentall procedure with the button
technique. A 60-year-old man with Marfan's syndrome who
contracted annuloaortic ectasia presented with the onset
of Stanford A type acute aortic dissection 3 years ago.
The patient underwent aortic root replacement with a Freestyle-valve
and ascending and hemi-arch aortic replacement. Thirty-seven
months after this operation the patient was re-operated
because of pseudo-ascending aorta aneurysm. The cause
of the pseudo-aneurysm was a fistula of the Freestyle-valve
free-wall and the left coronary artety (LCA) ostial reconstruction
component. The fistula was repaired by direct closure
with pledgets. The patient was discharged from the hospital
24 days after the operation.
Jpn. J. Cardiovasc. Surg. 34: 156-158 (2005) |
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