Department of Cardiac Surgery, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Department of Cardiology and Cardio-Vascular Surgery, Hôpital Cardiologique de Haut-Lévèque, Bordeaux University Hospital, Pessac, France.
Pan Afr Med J. 2023 Jun 22;45:100. doi: 10.11604/pamj.2023.45.100.36913. eCollection 2023.
A 63-year-old female with Marfan syndrome had undergone an initial operation of replacement of the ascending aorta and aortic valve with a composite graft and reconstruction of the coronary artery by the Cabrol procedure for aortic root dilatation and aortic valve regurgitation. During a follow-up of 16 years, a decreased ejection fraction was observed on transthoracic echocardiography with the onset of chest pain and dyspnea. Computer tomography angiography revealed a prostheto-prosthetic pseudoaneurysm, initially measured 21x16x23 mm, rapidly increased at 1-year follow-up at 27x24x33 mm. Coronary angiography showed the presence of turbulent flow inside the pseudoaneurysm with a decreased coronary perfusion. We resected the pseudoaneurysm and a new prostheto-prosthetic anastomosis was performed. The postoperative course was uneventful without any complications. We report this case because in literature there has been few reports regarding prostheto-prosthetic pseudoaneurysm after Cabrol procedure.
一位 63 岁的女性患有马凡综合征，曾因升主动脉和主动脉瓣扩张以及主动脉瓣反流而行 Cabrol 手术进行复合移植物置换和冠状动脉重建。在 16 年的随访中，经胸超声心动图显示射血分数降低，并出现胸痛和呼吸困难。计算机断层血管造影显示人造假体假性动脉瘤，最初测量为 21x16x23mm，在 1 年的随访中迅速增加至 27x24x33mm。冠状动脉造影显示假性动脉瘤内存在湍流，冠状动脉灌注减少。我们切除了假性动脉瘤，并进行了新的人造假体吻合术。术后过程顺利，无任何并发症。我们报告这个病例是因为文献中关于 Cabrol 手术后人造假体假性动脉瘤的报道很少。
