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Ruptured pseudoaneurysm of aortic root graft into the pulmonary artery as a cause of severe heart failure.
Authors:Reinaldo B Bestetti  José Roberto Costa Marot  Ulysses B Stella  Luiz A P Finzi
Affiliation:Hospital Beneficência Portuguesa, UNAERP Medical School, Ribeir?o Preto, Brazil. rbestetti@netsite.com.br
Abstract:
A 52-year-old man presented with heart failure of 1 month duration. He had undergone aortic valve and root replacement 30 months before admission. A continuous murmur was heard in the second intercostal space at the parasternal border. Aortography showed a pseudoaneurysm surrounding the aorta, whereas color Doppler study revealed flow from the central aorta to the pseudoaneurysm and flow from the pseudoaneurysm to the pulmonary artery trunk through a fistulous communication between them. Thus, fistulous communication with pulmonary artery causing heart failure is a complication of pseudoaneurysm after aortic and root replacement, which can be diagnosed clinically and echocardiographically.
Keywords:
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