PMC9059838_01
Multidetector computed tomography showing the mitral-aortic intervalvular fibrosa pseudoaneurysm (stars) both in the sagittal plane (A) and in the axial plane (B).
sha-72-76f1.jpg
PMC9059838_01_sha-72-76f1.jpg
f1-sha-72-76
The aortic root was dilated (45 mm) with significant calcification of the aortic annulus (Fig. 1) A conventional coronary angiography was performed which showed moderate aortic insufficiency and with no evidence of any coronary artery disease.
Intraoperative Transesophageal echocardiography (TEE).
sha-72-76f2.jpg
PMC9059838_01_sha-72-76f2.jpg
f2-sha-72-76
In addition, the mild mitral annular calcification with extension of calcium into posterior leaflet without mitral regurgitation is seen in the TEE examination (Fig. 2).
Intraoperative view of the mitral-aortic intervalvular fibrosa pseudoaneurysm after excision of calcific aortic valve.
sha-72-76f3.jpg
PMC9059838_01_sha-72-76f3.jpg
f3-sha-72-76
Associates, USA) with continuous suture technique using 4-0 prolene suture (Figs. 3 and 4). After than, the Bentall procedure was performed with a mechanical valve prosthesis (27 mm St.
The pseudoaneurysm sac repaired with a Gore-Tex patch.
sha-72-76f4.jpg
PMC9059838_01_sha-72-76f4.jpg
f4-sha-72-76
Associates, USA) with continuous suture technique using 4-0 prolene suture (Figs. 3 and 4). After than, the Bentall procedure was performed with a mechanical valve prosthesis (27 mm St.
Postoperative TEE view of repaired pseudoaneurysmal sac.
sha-72-76f5.jpg
PMC9059838_01_sha-72-76f5.jpg
f5-sha-72-76
TEE examination (Fig. 5). The patient had an uneventful postoperative period and was discharged 10 days after the surgery.