Open AccessA Giant Pseudo-Aneurysm on the Anastomosis Site for a Redo Bentall Operation due to Behçet Disease Treated by Thoracic Endovascular Aortic Aneurysm Repair with a Custom-Made Stent Graft
Author(s) -
Jong Yun Won,
Jae Seung Jung,
Jun Hee Lee,
Young Ki Jung,
Ho Sung Son
Publication year - 2020
Publication title -
the korean journal of thoracic and cardiovascular surgery/daehan hyungbu oe'gwa haghoeji. hyungbu simjang hyeolgwan
Language(s) - English
Resource type - Journals
eISSN - 2093-6516
pISSN - 0301-2859
DOI - 10.5090/kjtcs.20.010
Subject(s) - medicine , surgery , bentall procedure , thoracic aortic aneurysm , aneurysm , stent , anastomosis , aortic aneurysm , dehiscence , behcet's disease , endovascular aneurysm repair , aorta , disease , abdominal aortic aneurysm , ascending aorta
A 34-year-old man who had undergone aortic valve replacement 8 years ago underwent an additional Bentall operation due to mechanical valve dehiscence 2 years later. Subsequently, he was diagnosed with Behçet disease and Batter syndrome. A week after being hospitalized again due to chest pain and dyspnea, a large pseudo-aneurysm was detected on computed tomography. Because of the excessively large size of the pseudo-aneurysm, surgical treatment seemed very risky. Therefore, we planned to perform thoracic endovascular aortic repair (TEVAR) and treated him successfully. However, the patient experienced recurrence of the same symptoms 4 months later, and was found to have type IV endoleak. He received a TEVAR procedure again, and it was successful.