Authors : Maryam Esmaeilzadeh , Zohre Ayatollahi , Mohammad Mehdi Peighambari and Mohammad Bagher Tabatabaei
Abstract: Composite graft replacement of the ascending aorta and aortic valve has become the procedures of choice for patients with annuloaortic ectasia including those with Marfan�s syndrome, ascending aortic dissection and other disorders of the ascending aorta and aortic valve. A complication of the aortic valve and ascending aorta replacement is the development of pseudoaneurysm, which is the result of suture line dehiscence in the aortic annulus, the coronary ostia, or the distal graft anastomosis. The clinical symptoms associated with pseudoaneurysm formation vary. Some patients have nonspecific symptoms or may be completely asymptomatic; other patients may be severely limited by dyspnea and fatigue. Echocardiography with Doppler and more recently TEE have had a significant impact on the detection of pseudoaneurysm and the evaluation of patients with composite graft.
Maryam Esmaeilzadeh , Zohre Ayatollahi , Mohammad Mehdi Peighambari and Mohammad Bagher Tabatabaei , 2006. Giant Aortic Pseudoaneurysm and Dissection Following Bentall Procedure. The Cardiology, 2: 42-44.