Korean J Thorac Cardiovasc Surg.  2020 Dec;53(6):411-413. 10.5090/kjtcs.20.010.

A 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

• Won J
• Jung JS
• Lee JH
• Jung YK
• Son HS

• KMID: 2509416
• DOI: http://doi.org/10.5090/kjtcs.20.010

Abstract

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.

Keyword

Pseudoaneurysm; Thoracic endovascular aortic repair; Behcet disease; ype IV endoleakage