Repair of Left Coronary Artery Aneurysm, Recurrent Ascending Aortic Aneurysm, and Mitral Valve Prolapse 19 Years after Bentall's Procedure in a Patient with Marfan Syndrome

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Abstract
A 45‐year‐old female with Marfan syndrome had a Bentall's procedure performed 19 years ago. She presented with a 4‐year history of gradually worsening dyspnea and decreasing exercise tolerance. Investigations revealed severe mitral valve prolapse, a left main stem coronary artery (LMSCA) aneurysm, and a recurrent aneurysm of the ascending aorta. The mitral valve was replaced and the aortic aneurysmal sac and the LMSCA aneurysm were then repaired by a modified Bentall procedure. The patient made an uneventful recovery and was discharged home. (J Card Surg 2004;19:59‐61)