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A Giant Pseudo-Aneurysm on the Anastomosis Site for a Redo Bentall Operation due to Behcet Disease Treated by Thoracic Endovascular Aortic Aneurysm Repair with a Custom-Made Stent Graft

원종윤, 정재승, 이준희, 정영기, 손호성,
소속 상세정보
원종윤 ( Won Jong-Yun ) - Korea University College of Medicine Korea University Anam Hospital Department of Thoracic and Cardiovascular Surgery
정재승 ( Jung Jae-Seung ) - Korea University College of Medicine Korea University Anam Hospital Department of Thoracic and Cardiovascular Surgery
이준희 ( Lee Jun-Hee ) - Korea University College of Medicine Korea University Anam Hospital Department of Thoracic and Cardiovascular Surgery
정영기 ( Jung Young-Ki ) - Korea University College of Medicine Korea University Anam Hospital Department of Thoracic and Cardiovascular Surgery
손호성 ( Son Ho-Sung ) - Korea University College of Medicine Korea University Anam Hospital Department of Thoracic and Cardiovascular Surgery

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 Behcet 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.

키워드

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

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