Eur J Cardiothorac Surg 2009;36:186. doi:10.1016/j.ejcts.2009.03.029
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
Images in cardio-thoracic surgery |
A huge ascending aortic aneurysm bigger than the heart size
Khaled E. Al-Ebrahim*
Department of Surgery, King AbdulAziz University Hospital, P.O. Box 80215, Jeddah 21589, Saudi Arabia
Received 23 January 2009;
received in revised form 11 March 2009;
accepted 16 March 2009.
* Corresponding author. Tel.: +966 6401000l; fax: +966 6401238. (Email: dr.k-e{at}hotmail.com).
Key Words: Aneurysm • Aortic • Ascending
A 34-year-old Marfan patient presented with heart failure and renal impairment. CT chest revealed a 13 x 10 cm ascending aortic aneurysm (Fig. 1
) as the biggest aneurysm ever reported. Echocardiography showed severe aortic regurgitation and left ventricular dilatation. Regular aortic root replacement using a composite graft and coronary implantation was done (Fig. 2
).
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Fig. 1. Preoperative CT images showing the huge ascending aortic aneurysm involving the sinuses of valsalva and oversizing the heart necessitating careful sternotomy. Note the neck of the aneurysm before aortic branching facilitating central cannulation and clamping.
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