Oppression of Left Main Trunk Due to Pseudoaneurysm With Graft Detachment in Patients With Behcet Disease Previously Treated by Bentall Procedure

A 35-year-old Japanese man was admitted to our hospital because of congestive heart failure in January 2006. Echocardiography showed severe aortic regurgitation and partial ruptured aneurysm of the Valsalva sinus. Because he had already presented oral aphthae, uvetis, skin lesions with bouton, and genital ulceration, this case was diagnosed as a complete form of Behcet disease and the Bentall operation was performed. He was discharged without any complications. However, he experienced chest pain with ST-segment depression 3 months after the Bentall operation although no significant stenosis could be seen by preoperative coronary angiography in January 2006. This patient had III/VI systolic murmur of intensity of Levine on the third …