A pulsatile chest mass after Bentall procedure: a case report
- Xiaofan Huang,
- Dashuai Wang,
- Yu Song,
- Long Wu
Abstract
Aortic dissection is an aggressive and life-threatening cardiac disease
with highly challenging in surgical operation. Bentall procedure was
potential complications. How to manage them would be important to
improve patient outcomes. In this case, we present a 41-year-old male
patient with iatrogenic aortic dissection. He had aortic valve
replacement and repair of atrial septal defect in 2012. After 5 years,
he suffered reoperation for aortic dissection. A year later the patient
was readmitted for a voluminous pulsatile mass over the anterior thorax,
confirming the presence of a huge pseudoaneurysm originating from the
left coronary bottom performed during the Bentall procedure, requiring a
third operation to repair the hemorrhagic site. The pseudoaneurysm was
common complication after inclusion technique in Bentall procedure. How
to effective hemostasis or tension-free anastomosis was important to
improve patient outcomes.09 Sep 2021Published in The Heart Surgery Forum volume 24 issue 5 on pages E794-E796. 10.1532/hsf.4033