Japanese Journal of Cardiovascular Surgery Vol47,No3

Homograft Replacement for Repeated Pseudoaneurysm after Aortic Valve Surgery in a Patient with Beh●et Disease
Takuya Goto* Yosuke Kuroko* Takuya Kawabata*
Koki Eto* Yasuyuki Kobayashi* Daiki Ousaka*
Shingo Kasahara* Zenichi Masuda*

(Department of Cardiovascular Surgery Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan)

Patients with Beh●et disease often develop postoperative valve detachment and pseudoaneurysm as a potentially fatal complication following aortic valve surgery, necessitating re-operation in a few cases. A 37-year-old man underwent 5 aortic valve and aortic root surgeries for the management of valve detachment after initial aortic valve replacement. Evaluation during the course of his disease revealed incomplete Beh●et disease. He presented with high fever and Staphylococcus epidermidis bacteremia during the introduction of immunosuppressive therapy with infliximab. Contrast computed tomography revealed a pseudoaneurysm around the aortic root, and an aortic root replacement was performed using an aortic homograft after administration of a 6-week course of vancomycin. The patient is being observed at our outpatient clinic and has demonstrated no complications after 5 years from his last surgery.


Jpn. J. Cardiovasc. Surg. 47:133-137(2018)

Keywords:Beh●et disease;homograft;infectious endocarditis;pseudoaneurysm;aortic root surgery

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