Coronary pseudoaneurysm after Bentall-Bono intervention: A novel treatment to a rare surgery complication

Laura Varela Barca, Pilar Calderón Romero, Rosa Sánchez-Aquino,Alicia Donado Miñambres,Rafael Hernández-Estefanía, Petra Sanz Mayordomo,Gonzalo Aldámiz-Echevarría

Journal of Cardiology Cases(2022)

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Abstract
We present a rare case of a coronary pseudoaneurysm after a Bentall-Bono procedure. During a routine follow-up computed tomography scan, a pseudoaneurysm located between the aorta and the proximal portion of the right coronary artery was diagnosed. Contrast extravasation was observed with partial thrombosis of the pseudoaneurysm. Coronary angiography and intravascular ultrasound were performed showing the point of contrast extravasation dependent of the right coronary artery in its proximal portion. An angioplasty procedure was performed sealing the pseudoaneurysm with the implantation of a covered stent. After an uneventful postoperative follow-up, the patient was discharged home.
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Key words
Pseudoaneurysm,Bentall-Bono procedure,Cardiac surgery,Angioplasty
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