Cardiovascular Surgery Department, Tehran Heart Center, Tehran Uniwersity of Medical Sciences, Iran.
Cardiol J. 2011;18(2):185-8.
Pseudoaneurysms of the ascending aorta are rare, disastrous complications of surgical manipulation of the aorta and its surroundings. They frequently require emergency surgical intervention due to a high risk of sudden rupture and hemorrhage. We herein present the case of a pseudoaneurysm (130 mm in diameter) of the ascending aorta with a compressive effect on the left atrium and right coronary artery ostium at the site of a tube graft implanted 13 years previously via the Bental procedure in a 34 year-old man. The susceptibility of these pseudoaneurysms to silently increase in size through the years leads to a delayed diagnosis, with an increased risk of rupture and mortality, necessitating long-term follow-ups with a view to detecting it in the initial stages, when it is easier to perform surgical or endovascular interventions with a lower risk of mortality.
升主动脉假性动脉瘤是主动脉及其周围手术操作罕见但灾难性的并发症。由于突然破裂和出血的风险很高，它们通常需要紧急手术干预。本文介绍了 13 年前通过 Bentall 手术植入管型移植物部位的 13 岁男性患者，发生了升主动脉假性动脉瘤（直径 130 毫米），对左心房和右冠状动脉口产生压迫作用。这些假性动脉瘤多年来容易在不知不觉中增大，导致诊断延迟，破裂和死亡率增加，需要长期随访，以便在早期发现，此时更容易进行手术或血管内干预，死亡率更低。
