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European Journal of Echocardiography Advance Access originally published online on April 21, 2008
European Journal of Echocardiography 2008 9(5):716-719; doi:10.1093/ejechocard/jen144
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

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

Rui Almeida*, Teresa Pinho, Nuno P. Oliveira, Jorge Almeida, Filipe Macedo, António R. Sousa and M. Júlia Maciel

Department of Cardiology, Hospital S. João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal

Received 28 September 2007; accepted after revision 21 March 2008; online publish-ahead-of-print 21 April 2008.

* Corresponding author. Tel: +35 1962450952. E-mail address: ruitalmeida{at}netcabo.pt


  Abstract

Simultaneous en bloc replacement of the ascending aorta and aortic valve by a composite valve graft, as first described by Bentall and De Bono in 1968 and with later modifications, has become the standard surgical technique in the treatment of aneurysms of the aortic root associated with severe aortic valve dysfunction. Despite the good surgical results overall, it is still associated with considerable perioperative mortality and with dire complications in the long run. We report a case of a giant aortic pseudoaneurysm compressing the right heart chambers and communicating with the right ventricle presenting as rapidly progressing heart failure a few months after a Bentall operation.

Keywords: Aortic pseudoaneurysm; Bentall operation; Acute heart failure


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