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This 33-year-old patient had had emergency surgery 11 years earlier, at age 22 years, for acute dissection of the ascending aorta involving the main stem of the left coronary artery with grade 4 regurgitation of the aortic valve. The aortic valve and the ascending aorta were replaced with a conduit consisting of a biological prosthetic aortic valve and an aortic prosthesis (Bentall’s technique). Because the dissection involved both coronary ostia, the native coronary arteries were not reimplanted. Instead, 2 saphenous vein segments were used for CABG to the left circumflex artery (LCx) and right coronary artery (RCA). The patient recovered from surgery and remained free of symptoms.He presented at the age of 33 years with chest pain and shortness of …

Three-Dimensional Reconstruction of a Large Venous Bypass Graft Aneurysm Supplying 2 Coronary Arteries