%0 Journal Article
%T Successful Surgical Treatment of a Giant Mediastinal False Aneurysm 30 Years after Bentall Operation
%A Vincenzo Smorto
%A Massimo Longo
%A Paolo Pisi
%A Marco Meli
%A Luca Massarenti
%A Paolo Giovanardi
%A Guglielmo Stefanelli
%J World Journal of Cardiovascular Surgery
%P 35-39
%@ 2164-3210
%D 2016
%I Scientific Research Publishing
%R 10.4236/wjcs.2016.63006
%X 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.
%K Re-Do Aortic Surgery
%K False Aneurysm of the Ascending Aorta
%K Bentall Operation
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=64704