Author(s)

Vincenzo Smorto¹, Massimo Longo¹, Paolo Pisi¹, Marco Meli¹, Luca Massarenti¹, Paolo Giovanardi², Guglielmo Stefanelli^1*

¹Department of Cardiac Surgery, Radiology and Anesthesiology, Hesperia Hospital, Modena, Italy.
²University Hospitals, Modena, Italy.

False aneurysm occurring after replacement of ascending aorta by a vascular prosthesis is a rare, but life-threatening complication. In spite of advances in endovascular techniques, surgery remains the treatment of choice in the majority of cases. We report the case of a huge pseudoaneurysm caused by late dehiscence of the right coronary ostium-aortic tubular graft anastomosis, occurred 30 years after replacement of aortic valve and ascending aorta by classical Bentall operation. A fistula originating from the aneurysmal sac extended across the sternum into the thoracic subcutaneous soft tissues and gave rise to a pulsatile mass well appreciable on the anterior chest wall. The surgical treatment, consisting of partial resection of the aortic tubular graft and sternal reconstruction was effective and uneventful.

Re-Do Aortic Surgery, False Aneurysm of the Ascending Aorta, Bentall Operation

Smorto, V. , Longo, M. , Pisi, P. , Meli, M. , Massarenti, L. , Giovanardi, P. and Stefanelli, G. (2016) Successful Surgical Treatment of a Giant Mediastinal False Aneurysm 30 Years after Bentall Operation. World Journal of Cardiovascular Surgery, 6, 35-39. doi: 10.4236/wjcs.2016.63006.