Ascending Aortic Graft Kinking Due to Root Extension 10 Years After Surgery

A 53-year-old male patient presented with dyspnea and decrease in exercise tolerance. Ten years earlier he underwent supracoronary ascending and hemiarch aortic replacement for acute DeBakey type I aortic dissection in our clinic. Transthoracic echocardiography showed aortic root aneurysm with severe aortic regurgitation. Computed tomography showed severe kinking of the ascending aortic graft (Figures 1A and 1B, black arrows), 75 mm aortic root aneurysm (Figure 1B, white arrows) and 62 mm descending aortic aneurysm with a chronic dissection (Figure 1B, asterisk). The patient underwent successful reoperation with Bentall procedure, aortic arch replacement and stage 1 of elephant trunk procedure.

Image and Text by Vasily Kaleda

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