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Delayed dehiscence of modified mechanical Bentall 7 years postsurgery for Takayasu's arteritis
Author(s) -
Fatehi Hassanabad Ali,
Dagher Olina,
Jefferson Hallie L.,
Fine Nowell M.,
Kotha Vamshi,
Mosher Dianne,
Appoo Jehangir J.
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14021
Subject(s) - medicine , vasculitis , magnetic resonance imaging , takayasu arteritis , surgery , arteritis , dehiscence , radiology , takayasu's arteritis , bentall procedure , population , aorta , disease , ascending aorta , environmental health
Following aortic surgery for vasculitis, the incidence and duration of onset of anastomotic breakdown is unclear. A case is presented of a young female patient with Takayasu's arteritis (TA) who was found to have frank dehiscence of a modified Bentall repair 7 years after surgery. The case highlights (i) the lack of normal healing following aortic surgery in TA, and (ii) need to differentiate imaging protocols for patients with defined vasculitis as opposed to degenerative aortic conditions. A recommendation is made for appropriate surveillance imaging modality alternating between computed tomography and magnetic resonance imaging in the often young patient population affected by vasculitis.