Ruptured pseudoaneurysm of aortic root graft into the pulmonary artery as a cause of severe heart failure

A 52-year-old man presented with heart failure of 1 month duration. He had undergone aortic valve and root replacement 30 months before admission. A continuous murmur was heard in the second intercostal space at the parasternal border. Aortography showed a pseudoaneurysm surrounding the aorta, where...

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Veröffentlicht in:Cardiovascular pathology 2003-05, Vol.12 (3), p.163-165
Hauptverfasser: Bestetti, Reinaldo B., Marot, José Roberto Costa, Stella, Ulysses B., Finzi, Luiz A.P.
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Sprache:eng
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Zusammenfassung:A 52-year-old man presented with heart failure of 1 month duration. He had undergone aortic valve and root replacement 30 months before admission. A continuous murmur was heard in the second intercostal space at the parasternal border. Aortography showed a pseudoaneurysm surrounding the aorta, whereas color Doppler study revealed flow from the central aorta to the pseudoaneurysm and flow from the pseudoaneurysm to the pulmonary artery trunk through a fistulous communication between them. Thus, fistulous communication with pulmonary artery causing heart failure is a complication of pseudoaneurysm after aortic and root replacement, which can be diagnosed clinically and echocardiographically.
ISSN:1054-8807
1879-1336
DOI:10.1016/S1054-8807(03)00031-0