An unusual late complication associated with the Bentall procedure: pseudoaneurysm caused by button total detachment and aorto-right atrial fistula

doi:10.5606/tgkdc.dergisi.2014.9098

Onur Işık, Serkan Ertugay, Muhammet Akyüz, Mehmet Fatih Ayık, Yüksel Atay

Department of Cardiovascular Surgery, Medical Faculty of Ege University, İzmir, Turkey

DOI : 10.5606/tgkdc.dergisi.2014.9098

Pseudoaneurysm formation with aorto-right atrial fistula due to coronary button total detachment is a late and unusual complication of the Bentall procedure. In this article, we report a 43-year-old male case who underwent the Bentall procedure for bicuspid aortic valve and ascending aortic aneurysm 11 years prior. The connection on the right atrium was primarily sutured and the defect of the ascending aorta was closed with a Dacron graft. The thrombosed right coronary artery ostium was ligated with saphenous vein grafting. Normothermia was achieved and the patient was weaned from the cardiopulmonary bypass uneventfully.

Keywords : Atrial fistula; Bentall procedure; pseudoaneurysm

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