Skip Navigation LinksHome > July 2012 - Volume 27 - Issue 4 > Expanding Arch Aneurysm Causing a “Kink” in a Bentall Graft...
Journal of Thoracic Imaging:
doi: 10.1097/RTI.0b013e31821424de
Web Exclusive Content-Case Reports: Cardiovascular

Expanding Arch Aneurysm Causing a “Kink” in a Bentall Graft and Heart Failure

Al-Mohaissen, Maha A. MB, BS*; Skarsgard, Peter MD; Khoo, Clarence MD*; Virani, Sean A. MD*; Munt, Brad MD*; Leipsic, Jonathon MD; Ignaszewski, Andrew MD*

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Abstract

Marfan syndrome is associated with a high incidence of aortic root aneurysm and life-threatening aortic dissection. With the successful use of surgical aortic root replacement, dissection-related mortality has been significantly reduced. We present the case of a patient with Marfan syndrome who presented with heart failure secondary to an unusual graft-related complication 14 years after a Bentall procedure. Investigations revealed a supra-aortic stenosis resulting from a kink in the Bentall graft caused by pressure from an expanding aortic arch aneurysm. The patient underwent surgery with improvement in his ejection fraction and heart failure symptoms.

© 2012 Lippincott Williams & Wilkins, Inc.

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