Presentation of a pseudoaneurysm as a supravalvular aortic stenosis 20 years after aortic root reconstruction

• Published in: European journal of cardio-thoracic surgery Vol. 13; no. 4; pp. 481 - 483
• Main Authors: van’t Hof, Arnoud W.J., Leicher, Frans G., Schipper, Cor W., Hoorntje, Jan C.A.
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Science B.V 01-04-1998; Elsevier Science
• Subjects: Adult; Aneurysm, False - diagnosis; Aorta - surgery; Aortic Aneurysm - diagnosis; Aortic root reconstruction; Aortic Valve; Aortic Valve Stenosis - diagnosis; Biological and medical sciences; Blood Vessel Prosthesis Implantation; Dacron graft; Heart Valve Prosthesis Implantation; Humans; Male; Medical sciences; Postoperative Complications; Pseudoaneurysm; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Time Factors; Dacron graft; Aortic root reconstruction; Pseudoaneurysm; Human; Corrective surgery; Compression; Mitral valve; False aneurysm; Prosthesis; Cardiovascular disease; Narrowing; Long term; Differential diagnostic; Arterial disease; Vascular disease; Case study; Cardiac valvular disease; Surgery; Ring; Aorta; Complication; Diagnosis; Aortic valve; Aortic disease; Supravalvular
• ISSN: 1010-7940; 1873-734X
• DOI: 10.1016/S1010-7940(98)00026-8

A 36-year-old patient was referred because of fatigue and decreased exercise tolerance 20 years after separate aortic valve replacement and aortic root reconstruction. The presence of a loud systolic ejection murmur and persistent left ventricular hypertrophy led to the diagnosis of severe supravalvular aortic flow obstruction by indirect compression of a large pseudoaneurysm.