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Case Reports in Medicine
Volume 2009, Article ID 740247, 3 pages
Case Report

Delayed Presentation of a Giant Ascending Aortic Aneurysm following Aortic Valve Replacement

1Department of Cardiovascular Surgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey
2Department of Cardiology, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey

Received 17 October 2009; Accepted 11 December 2009

Academic Editor: Dieter Horstkotte

Copyright © 2009 Tugrul Göncü et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Giant ascending aortic aneurysm formation following aortic valve replacement is rare. A 28-year-old man who underwent aortic valve replacement with a prosthetic valve for aortic regurgitation secondary to congenital bicuspid aortic valve about 10 years ago was diagnosed with a giant ascending aortic aneurysm about 16 cm in diameter in follow-up. The aneurysm was resected leaving the functional old mechanical prosthesis in place and implanted a 34-mm Hemashield woven graft, associated with the left and right coronary artery button implantation. Histological findings of the aortic aneurysm wall showed cystic medial necrosis. The postoperative course was uneventful and postoperative examination demonstrated good surgical results.