False aneurysm of the ascending aorta after surgery for Marfan's syndrome. Report of a case and review of the literature.

Abstract

A case is described in which false aneurysm of the ascending aorta developed following corrective surgery for Marfan's syndrome. During the initial procedure, a dissecting aortic aneurysm and incompetent aortic valve were managed by replacing the valve with a Starr-Edwards prosthesis and the ascending aorta with a woven Dacron aortic prosthesis. Two years later the operation was repeated with the use of antibiotic cover, because the patient developed a paraprosthetic leak following subacute bacterial endocarditis with Staphylococcus aureus. The woman remained well for 6 months, after which she developed a false aneurysm of the ascending aorta and aortic incompetence which necessitated repeating the operation for a third time. The patient remains well one year later. Relevant literature available on false aneurysm of the ascending aorta is also reviewed.

• Authors: K K Nair
• Journal: The Journal of thoracic and cardiovascular surgery (J Thorac Cardiovasc Surg) Vol. 71 Issue 5 Pg. 765-7 (May 1976) ISSN: 0022-5223 [Print] United States
• PMID: 944367 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Aorta
• Aortic Aneurysm (etiology)
• Aortic Valve
• Endocarditis, Bacterial
• Heart Valve Prosthesis
• Humans
• Marfan Syndrome (surgery)
• Postoperative Complications
• Prostheses and Implants (adverse effects)
• Staphylococcal Infections