Aortic pseudo-aneurysm caused by complete dehiscence of the left coronary artery 7 years after a composite mechanical-valved conduit aortic root replacement (Bentall operation).

A 65-year-old man was admitted with rapidly progressive dyspnoea. He had been operated on for a type A aortic dissection 11 years earlier (supracommissural replacement), and 4 years later underwent a Bentall operation for dehiscence of the proximal graft anastomosis and severe aortic regurgitation. On admission, high jugular venous pressure and pulmonary oedema were …