Repair of left coronary artery aneurysm, recurrent ascending aortic aneurysm, and mitral valve prolapse 19 years after Bentall's procedure in a patient with Marfan syndrome |
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Authors: | Badmanaban Balaji Mallon Peter Campbell Norman Sarsam Mazin A I |
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Affiliation: | Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland, UK. balaji@talk21.com |
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Abstract: | A 45-year-old female with Marfan syndrome had a Bentall's procedure performed 19 years ago. She presented with a 4-year history of gradually worsening dyspnea and decreasing exercise tolerance. Investigations revealed severe mitral valve prolapse, a left main stem coronary artery (LMSCA) aneurysm, and a recurrent aneurysm of the ascending aorta. The mitral valve was replaced and the aortic aneurysmal sac and the LMSCA aneurysm were then repaired by a modified Bentall procedure. The patient made an uneventful recovery and was discharged home. |
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