Aortic Pseudoaneurysm with Fistulization into the Pulmonary Artery: A Cause of Refractory Heart Failure After Bentall Procedure

Right Coronary Artery Button Pseudoaneurysm After the Modified Bentall Procedure

“…Patients may be asymptomatic and discovered incidentally on routine follow-up or incidental imaging [4,7,9]. As in our case, patients present with dyspnea and chest pain [5,7,8,[10][11][12]. Pulsating parasternal swelling has also been reported [5].…”

Aortic pseudoaneurysm with fistulization to the right atrium: A case report

“…The PsA bleed originated at the distal anastomosis of the aortic root graft involving the right coronary button, 2 of the 3 characteristic locations for dehiscence causing aortic PsA. 4 …”

“… 5 TEE should thus be considered as a component of routine follow-up of patients who have undergone aortic root replacements, as it could detect PsA, graft dehiscence, and complications such as fistulization. 4 , 5 …”

A case of acute heart failure due to giant aortic pseudoaneurysm with fistulization to the right ventricle after a modified Bentall operation

“…[3][4][5] However, major complications in the medium and long term may occur, including (i) progression of disease in the native aorta with recurrent aneurysm, dissection, and rupture; (ii) prosthetic valve infection and dysfunction; and (iii) complications involving the prosthetic conduit. 6 Pseudoaneurysms originating from dehiscence of suture lines are one of the most feared and lethal complications of the operation. They usually evolve insidiously and unnoticed or with non-specific findings, as an early or late complication, until they cause serious life threatening conditions, namely compression of the cardiac chambers and nearby structures, major thrombo-embolic events or rupture (either free rupture or fistulization into various structures).…”