Giant aortic root pseudoaneurysm surrounding the left main coronary artery
Zjuul Segers1, Patrick Houthuizen2, Albert H M van Straten3
1Department of Anesthesiology, Zuyderland Medical Centre, Heerlen, Eindhoven, The Netherlands.
Abstract:
A 69-year-old patient underwent an urgent aortic valve replacement because of Streptococcus agalactiae endocarditis of his native aortic valve. Since a rapid progression of the former abscess cavity into an aortic root pseudoaneurysm with increasing paravalvular regurgitation during postoperative follow-up, reoperation was performed. In the preoperative transesophageal echocardiography (TEE) images the pseudoaneurysm completely surrounds the left coronary artery (LCA) without any signs of myocardial ischemia.
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