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Title: Giant anastomotic pseudoaneurysm complicating aortic xenograft replacement. Author: Kucher N, Kipfer B, Seiler C, Allemann Y. Journal: Ann Thorac Surg; 2004 Jun; 77(6):2197-9. PubMed ID: 15172302. Abstract: A 74-year-old woman was referred for investigation of a 2-week history of progressive dyspnea. Her medical history included an aortic valve replacement with a stentless bioprosthesis followed 13 months later by the replacement of the aortic root with a porcine xenograft. Transesophageal echocardiography revealed a giant circular pseudoaneurysm of the aortic xenograft with compression of the prosthetic aortic valve and concomitant severe aortic regurgitation. Dehiscence of the proximal graft anastomosis was also diagnosed, and a possible distal anastomotic dehiscence was suspected. The latter turned out intraoperatively to be an almost complete dehiscence of the right coronary artery. The patient died intraoperatively.[Abstract] [Full Text] [Related] [New Search]