Abstract
A 41-year-old woman with aortitis syndrome underwent total arch replacement for an aneurysm of the ascending aorta and aortic arch in February 2010. Her postoperative course was good, but approximately 7 months later a false aneurysm was detected at the site of the proximal and distal graft anastomoses. Echocardiography showed dilation of the Valsalva sinus and severe aortic valve regurgitation. Therefore, we performed reoperation with the Bentall procedure for the false aneurysm of the ascending aorta where the proximal anastomosis was located, and for her aortic regurgitation. We subsequently added thoracic endovascular aortic repair (TEVAR) for the distal false aneurysm where the distal anastomosis was located. Her second postoperative course was good. We report a successful hybrid operation in two stages with a Bentall reoperation and TEVAR.
