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Eur J Cardiothorac Surg 1998;13:481-483
© 1998 Elsevier Science NL

Case report

Presentation of a pseudoaneurysm as a supravalvular aortic stenosis 20 years after aortic root reconstruction

Department of Cardiology and Cardiothoracic Surgery, Hospital De Weezenlanden, Groot Wezenland 20, 8011 JW Zwolle, The Netherlands

Received 6 October 1997; received in revised form 15 December 1997; accepted 6 January 1998.

Corresponding author. Tel.: +31 38 4242457; fax: +31 38 4243222.

A 36-year-old patient was referred because of fatigue and decreased exercise tolerance 20 years after separate aortic valve replacement and aortic root reconstruction. The presence of a loud systolic ejection murmur and persistent left ventricular hypertrophy led to the diagnosis of severe supravalvular aortic flow obstruction by indirect compression of a large pseudoaneurysm.

Key Words: Pseudoaneurysm • Dacron graft • Aortic root reconstruction