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Separation of coronary ostium caused by pseudoaneurysm formation after composite valve graft replacement for acute dissection of the ascending aorta
  1. T C Konings,
  2. P A van der Wouw,
  3. K Bloemendaal
  1. p.a.vanderwouw{at}

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A 49 year old man presented with progressive dyspnoea eight years after a Bentall procedure for acute dissection of the ascending aorta. Transoesophageal echocardiogram showed a pseudoaneurysm of the aortic prosthesis of approximately 10 cm diameter filled with blood and thrombus around the prosthesis (below left, large arrow). During …

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