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Pseudoaneurysm of the ascending thoracic aorta years after aortic valve replacement
Affiliation:1. Department of Internal Medicine, St Vincent Charity Medical Center, Cleveland, OH, USA;2. Department of Internal Medicine, MedStar Washington Hospital Center, Washington, DC, USA;3. MedStar Heart & Vascular Institute, MedStar Washington Hospital Center, Washington, DC, USA;1. Cardiology Division, Geneva University Hospital, Geneva, Switzerland;2. Cardiology Department, Swiss Cardiovascular Center, University Hospital, Bern, Switzerland;1. Cardiology, University Hospital Bern, 3010 Bern, Switzerland;2. Cardiology, University Hospital Zurich, 8091 Zurich, Switzerland
Abstract:Aortic pseudoaneurysm (PSA) formation post aortic valve replacement is one of the rare and devastating complications if left untreated. Aortic PSA can occur few weeks or month after surgery. The spectrum of symptoms varies from dyspnea, wide pulse pressure, and chest pain. However, in rare cases, aortic root PSA could be asymptomatic. Aortic PSA mortality could be as high as 70%, if left untreated. Therefore, High clinical suspicion and prompt surgical intervention is imperative. In this case, the patient presented with dyspnea years after Bentall procedure, and imaging studies revealed para-aortic PSA that was treated surgically.
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