KMID : 1164620200530060411
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Korean Journal of Thoracic and Cardiovascular Surgery 2020 Volume.53 No. 6 p.411 ~ p.413
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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
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Won Jong-Yun
Jung Jae-Seung Lee Jun-Hee Jung Young-Ki Son Ho-Sung
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Abstract
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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.
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KEYWORD
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Pseudoaneurysm, Thoracic endovascular aortic repair, Behcet disease, Type IV endoleakage
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