This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Leo A. Bockeria Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Bockeria, L. A. Articles by Rychin, S. V. Search for Related Content PubMed PubMed Citation Articles by Bockeria, L. A. Articles by Rychin, S. V. Related Collections Related Article

eComment: Giant left coronary ostial aneurysm after modified Bentall procedure in a Marfan patient

Bakoulev Center for Cardiovascular Surgery, 121552 Moscow, Russia

Giant left coronary ostial aneurysm after modified Bentall procedure in a Marfan patient

One of the typical problems in the long follow-up period after a classic Bentall operation is the formation of coronary ostial aneurysm. According to data of various authors the frequency of this complication achieves 8.5%. At the same time, messages on formation of coronary ostial aneurysm, when performing the modified Bentall technique, are really very rare. However, the inherent weakness of a connecting fabric in patients with Marfan syndrome, in a great degree, possibly promotes development of this complication. We congratulate the authors for such an interesting message [1].

In our centre, for the last period of time, three patients with Marfan syndrome underwent reoperation after the classic Bentall technique with the use of a synthetic conduit. In all three cases we eliminated coronary ostial aneurysm, thus managing to execute direct re-implantation of coronary ostial in the new conduit. In all cases the apertures in the conduit were done in exact conformity with the diameter of the coronary ostium. Besides that, since 1990, more than 80 patients with Marfan syndrome underwent implantation of xenopericardial conduit manufactured at the Bakoulev Center for Cardiovascular Surgery [2]. In the remote period of more than 15 years follow-up none of those patients was diagnosed coronary ostial aneurysm.

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1. Okamoto K, Casselman FP, De Geest R, Vanermen H. Giant left coronary ostial aneurysm after modified Bentall procedure in a Marfan patient. Interact CardioVasc Thorac Surg 2008;7:1164–1166.[Abstract/Free Full Text]
2. Malashenkov AI, Rusanov NI, Rychin SV, Movsesyan RA, Bockeria LA. Is it justified to use xenopericardial conduit in the surgery of ascendingaortic aneurysms (16-year experience)? Interact CardioVasc Thorac Surg 2007;6(Suppl. 1):S4.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Leo A. Bockeria Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Bockeria, L. A. Articles by Rychin, S. V. Search for Related Content PubMed PubMed Citation Articles by Bockeria, L. A. Articles by Rychin, S. V. Related Collections Related Article