Abi Rached Emilio, Kochiashvili Avtandil, Jailani Mohamed, Cheema Mohiuddin
Internal Medicine, University of Connecticut, Farmington, USA.
Cardiac Surgery, Hartford Hospital, Hartford, USA.
Cureus. 2025 Apr 14;17(4):e82273. doi: 10.7759/cureus.82273. eCollection 2025 Apr.
Anastomotic graft leaks following thoracic aortic repair are rare but potentially life-threatening complications that may present with subtle symptoms, leading to delayed diagnosis. We present the case of a 74-year-old male who developed progressive dyspnea eight months after undergoing a Bentall procedure for an ascending aortic aneurysm. Imaging revealed a massive 13.2 × 11.2 × 11.5 cm contained peri-aortic hematoma, causing significant mass effect on nearby structures, which was successfully surgically repaired. This case represents the largest reported peri-aortic hematoma following Bentall surgery and highlights the challenges in detecting and managing late complications of open thoracic aortic repair, given the lack of standardized surveillance protocols for anastomotic open graft leaks.
胸主动脉修复术后吻合口移植物漏是罕见但可能危及生命的并发症，可能表现为细微症状，导致诊断延迟。我们报告一例74岁男性病例，该患者在接受升主动脉瘤Bentall手术后8个月出现进行性呼吸困难。影像学检查发现一个巨大的13.2×11.2×11.5厘米的主动脉周围局限性血肿，对附近结构产生显著的占位效应，该血肿通过手术成功修复。该病例是Bentall手术后报告的最大的主动脉周围血肿，鉴于缺乏吻合口开放移植物漏的标准化监测方案，突出了检测和处理开放性胸主动脉修复术后晚期并发症的挑战。
