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Ann Thorac Surg 2002;74:2189-2190
© 2002 The Society of Thoracic Surgeons

Case report

Treatment of a fistula at the distal anastomosis after Bentall operation with endoluminal covered stent

Daniel Roux, MDa*, Laurent Brouchet, MDa, Hervé Rousseau, MDa, Tamer Elghobary, MDa, Yves Glock, MD, PhDa, Gérard Fournial, MDa

a Departments of Cardiovascular Surgery and Radiology, Toulouse-Rangueil University, Hôpital de Rangueil, Toulouse, France

Accepted for publication June 28, 2002.

* Address reprint requests to Dr Roux, Départment de Chirurgie Cardiovasculaire, Hôpital de Rangueil, 1 Ave Jean-Poulhés, F-31403 Toulouse Cedex 4, France
e-mail: fournial.g{at}chu-toulouse.fr

A 25-year-old Marfan patient was operated on for an acute type A aortic dissection that was complicated twice by false aneurysms at the distal suture line. At the third episode a covered endoprosthesis was inserted in the ascending aorta between the coronary ostia and the inominate artery. The postoperative course was uneventful and a control computed tomographic scan showed complete occlusion of the false aneurysm.

This attractive technique should be considered versus an open-heart operation in selected patients.




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J. Thorac. Cardiovasc. Surg., October 1, 2009; 138(4): 1035 - 1037.
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