Detachment of the Right Coronary Artery Resulting in Subsequent Aneurysm of the Ascending Aorta and Pulmonary Artery Fistula 7 Years After a Bentall Procedure

This report describes detachment of the right coronary artery, an extremely infrequent late complication of Bentall's procedure combined with Cabrol's maneuver for aneurysm of the ascending aorta. This resulted in subsequent formation of the progressive aneurysm of the ascending aorta and fistula entering the main pulmonary artery. Successful surgical treatment depended on meticulous echocardiographic investigation and careful physical examination.