Rapidly increasing prostheto-prosthetic pseudo aneurysm 26 years after cabrol procedure in a patient with Marfan syndrome: a case report.
Cabrol procedure
Marfan syndrome
case report
prostheto-prosthetic pseudoaneurysm
reoperation
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2023
2023
Historique:
received:
20
08
2022
accepted:
09
06
2023
medline:
12
9
2023
pubmed:
11
9
2023
entrez:
11
9
2023
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 37692979
doi: 10.11604/pamj.2023.45.100.36913
pii: PAMJ-45-100
pmc: PMC10491714
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
100Informations de copyright
Copyright: Othmane Haddani et al.
Déclaration de conflit d'intérêts
The authors declare no competing interests.
Références
J Thorac Cardiovasc Surg. 1981 Feb;81(2):309-15
pubmed: 7453242
Ann Thorac Surg. 2003 Oct;76(4):1203-7; discussion 1027-8
pubmed: 14530012
Int Heart J. 2011;52(4):229-32
pubmed: 21828949
Ann Thorac Surg. 2020 Dec;110(6):1847-1853
pubmed: 32561313
Asian Cardiovasc Thorac Ann. 2020 Feb;28(2):104-107
pubmed: 31604376
Eur J Cardiothorac Surg. 2000 Sep;18(3):313-20
pubmed: 10973541
Thorax. 1968 Jul;23(4):338-9
pubmed: 5664694
Jpn J Thorac Cardiovasc Surg. 1998 Oct;46(10):1041-6
pubmed: 9847586