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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*
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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Marfan syndrome, Bentall graft, complication, stenosis, heart failure
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