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Giant aortic root pseudoaneurysm surrounding the left main coronary artery


1 Department of Anesthesiology, Zuyderland Medical Centre, Heerlen, Eindhoven, The Netherlands
2 Cardiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands
3 Cardiothoracic Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands

Correspondence Address:
Zjuul Segers
Department of Anesthesiology, Zuyderland Medical Centre, Heerlen, The Netherlands, Henri Dunantstraat 5, Heerlen 6419PC, The Netherlands, Post office box 5500 6130MB Sittard
The Netherlands
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_39_20

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Year : 2021  |  Volume : 24  |  Issue : 4  |  Page : 500-502

 

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A 69-year-old patient underwent an urgent aortic valve replacement because of Streptococcus agalactiae endocarditis of his native aortic valve. Since a rapid progression of the former abscess cavity into an aortic root pseudoaneurysm with increasing paravalvular regurgitation during postoperative follow-up, reoperation was performed. In the preoperative transesophageal echocardiography (TEE) images the pseudoaneurysm completely surrounds the left coronary artery (LCA) without any signs of myocardial ischemia.






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1 Department of Anesthesiology, Zuyderland Medical Centre, Heerlen, Eindhoven, The Netherlands
2 Cardiology, Catharina Hospital Eindhoven, Eindhoven, The Netherlands
3 Cardiothoracic Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands

Correspondence Address:
Zjuul Segers
Department of Anesthesiology, Zuyderland Medical Centre, Heerlen, The Netherlands, Henri Dunantstraat 5, Heerlen 6419PC, The Netherlands, Post office box 5500 6130MB Sittard
The Netherlands
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_39_20

Rights and Permissions

A 69-year-old patient underwent an urgent aortic valve replacement because of Streptococcus agalactiae endocarditis of his native aortic valve. Since a rapid progression of the former abscess cavity into an aortic root pseudoaneurysm with increasing paravalvular regurgitation during postoperative follow-up, reoperation was performed. In the preoperative transesophageal echocardiography (TEE) images the pseudoaneurysm completely surrounds the left coronary artery (LCA) without any signs of myocardial ischemia.






[FULL TEXT] [PDF]*


        
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