scholarly journals Asymptomatic giant pseudoaneurysm in the ascending aorta after Bentall procedure

Author(s):  
Jun Gu ◽  
Da Zhu ◽  
Eryong Zhang
2020 ◽  
Vol 31 (4) ◽  
pp. 578-579
Author(s):  
Juan Contreras ◽  
Badr Bannan ◽  
Rajiv Chaturvedi ◽  
David J Barron

Abstract Neoaortic root dilation is a common phenomenon after the Norwood procedure, but the real incidence and its natural history are unclear. Regular surveillance in these patients after the operation is necessary. Herein, we present an 11-year-old boy born with tricuspid atresia, a discordant ventriculo-arterial connection and a hypoplastic aortic arch, who was palliated initially with a hybrid stage I procedure involving a reversed Blalock–Taussig shunt, followed by comprehensive stage II and then, an extra-cardiac fenestrated Fontan operation. The patient developed an aortic root aneurysm and severe aortic regurgitation. He was electively taken into the operating room, where cardiopulmonary bypass was established through a peripheral cannulation of the femoral vessels due to the high risk nature of the reoperation. A mechanical Bentall procedure was performed without residual lesions and the native ascending aorta was anastomosed as a single coronary button to the anterior wall of the graft.


2014 ◽  
Vol 174 (3) ◽  
pp. 775-777 ◽  
Author(s):  
Bili Zhang ◽  
Feng Chen ◽  
Suxuan Liu ◽  
Yongwen Qin ◽  
Xianxian Zhao

Author(s):  
Subrata Pramanik ◽  
Ajit Padhy ◽  
Nayem Raja ◽  
Subodh Satyarthy

A middle-aged man diagnosed case of Marfan syndrome associated with pectus excavatum presented with chest pain and dyspnea. Chest X-ray, transthoracic echocardiography and Computed tomography (CT) of heart and aorta revealed severe Aortic regurgitation with dilated aortic root, sinotubular junction and ascending aorta with normal size arch and descending aorta. Patient was taken for surgery. Pectus excavatum creates difficulties for heart exposure and cannulation for cardiopulmonary bypass. We planned for femoro-femoral bypass to carry out ahesiolysis and Bentall procedure without much difficulties. Postoperative stay of the patient was uneventful and followed up in regular interval.


2005 ◽  
Vol 34 (2) ◽  
pp. 156-158
Author(s):  
Masahito Saito ◽  
Yoshihito Irie ◽  
Souichi Shioguchi ◽  
Shigeyoshi Gon ◽  
Nobuaki Kaki ◽  
...  

2016 ◽  
Vol 20 (2) ◽  
pp. 17
Author(s):  
S. Yu. Boldyrev ◽  
O. A. Rossokha ◽  
K. O. Barbukhatti ◽  
V. A, Porkhanov

<p><strong>Aim:</strong> This study was designed to evaluate the results of using a new method of aortic valve reimplantation named Kuban Cuff technique, where the key stage of surgery was to create new sinuses of Valsalva.<br /><strong>Methods:</strong> Analyzed over a period from 2011 to 2015 were the outcomes of treatment of 45 (37 males) patients with various anatomy of the aortic valve (tri/bicuspid ones) and initial pathologies: aneurysms of the root and the ascending aorta, dissection of the ascending aorta, insufficiency of the aortic valve. A detailed description of the surgical technique and the unique device to prepare a vascular graft for reimplantation is given. The mean age of patients was 56.5 years (46.5; 66.5), the average time of cardiopulmonary bypass was 193.6 min (128.9; 258.2), the aorta cross-clamping time was 142.6 min (104.5; 180.7), the circulatory arrest time was 28.1 min (13.1; 43.1).<br /><strong>Results:</strong> Hospital mortality was 2 (4.4%) patients. 3 (6.6%) patients underwent re-sternotomy because of postoperative bleeding. One patient had to undergo a redo (Bentall procedure) at 2 months after discharge from the hospital as a result of acute infective endocarditis of the aortic valve. All patients demonstrated a good function of the aortic valve with regurgitation of 0/1 grade. Prior to discharge, the aortic regurgitation grade was decreased from 2.83±0.44 before surgery to 0.62±0.7 after surgery. The mean follow-up time in 42 patients (93.3%) was 12.3 months (2.68; 21.98).<br /><strong>Conclusions:</strong> The Kuban Cuff technique fully recreates a close analogue of the natural aortic root, stabilizes the fibrous annulus of the aortic valve, minimizes the risk of bleeding from the anastomosis zone. The technique is simple and reproducible with any type of vascular prostheses and does not take much time.</p>


Author(s):  
Debmalya Saha ◽  
Kaushik Mukherjee ◽  
Amrita Guha

Though the incidence of aneurysms involving the aortic root and/or ascending aorta is common, the combination of aortic root aneurysm and the right atrial clot is extremely rare. No such case is reported in literature till date. This case report presents a 52-year gentleman who came to our emergency department with complaints of breathlessness, abdominal distention, pedal swelling, and decreased urine output with extremely poor general condition. After hemodynamic stabilization and preoperative optimization and workup, he was managed with Bentall procedure with right atrial clot removal. The immediate postoperative course was normal except for deranged liver function tests. The patient was discharged on postoperative day ten.


2011 ◽  
Vol 27 (6) ◽  
pp. 871.e3-871.e4
Author(s):  
Alexander Weymann ◽  
Bastian Schmack ◽  
Matthias Karck ◽  
Gábor Szabó

2016 ◽  
Vol 20 (2) ◽  
pp. 120 ◽  
Author(s):  
V. I. Kaleda ◽  
S. Yu. Boldyrev ◽  
K. O. Barbukhatti

<p>Bentall procedure, first performed 50 years ago, holds a special place in the history of aortic surgery. Up to now this procedure has been widely used in cardiac surgery and remains the golden standard in managing the ascending aorta and aortic valve diseases. This paper looks at Professor Hugh Bentall’s biography, the Russian translation of his original paper published in 1968 and also a short history of ascending aorta surgery.</p><p><strong>Conflict of interest:</strong> The authors declare no conflict of interest.<br /><strong>Acknowledgement:</strong> The authors appreciate Professor S.P. Gliantsev’s critical comments and valuable advice in discussions about the paper.</p>


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