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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*

doi: 10.1097/RTI.0b013e31821424de
Web Exclusive Content—Case Reports: Cardiovascular

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.

*Division of Cardiology

Division of Cardiac Surgery

Department of Radiology, St Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada

The authors have nothing to disclose and there is no conflict of interest.

Reprints: Maha A. Al-Mohaissen, MB, BS, 180-1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada (e-mail:

© 2012 Lippincott Williams & Wilkins, Inc.