{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T14:08:07Z","timestamp":1767967687502,"version":"3.49.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,8,4]]},"abstract":"<jats:p>Complete dehiscence of a composite aortic valve graft with pseudoaneurysm formation is a rare complication following aortic root replacement. This complication often takes place in the setting of acute graft infection and accompanies symptoms of heart failure, valve insufficiency or sepsis. We present a delayed, asymptomatic presentation of this complication in a young man with distant history of aortic root replacement and medically treated prosthetic valve endocarditis a year postoperatively. He had been non-adherent to warfarin over 10\u2005years, but otherwise maintained a healthy life. After being lost to follow-up, he re-presented 12\u2005years after the initial operation with new-onset seizures. Echocardiogram revealed complete dehiscence of a composite valved conduit at the proximal anastomosis site with a resultant large pseudoaneurysm. The patient underwent an urgent re-operation with resection of the pseudoaneurysm and insertion of a tissue valved conduit. He had an uncomplicated postoperative recovery and promised close follow-up on discharge.<\/jats:p>","DOI":"10.1136\/bcr-2016-216320","type":"journal-article","created":{"date-parts":[[2016,8,16]],"date-time":"2016-08-16T15:56:19Z","timestamp":1471362979000},"page":"bcr2016216320","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Fortune or misfortune: asymptomatic, delayed presentation of complete dehiscence of mechanical aortic valve conduit and pseudoaneurysm"],"prefix":"10.1136","volume":"2016","author":[{"given":"Kyung Taek","family":"Oh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Derose","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia","family":"Taub","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,8,16]]},"reference":[{"key":"2025042703531448000_2016.aug16_1.bcr2016216320.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1013165"},{"key":"2025042703531448000_2016.aug16_1.bcr2016216320.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.03.052"},{"key":"2025042703531448000_2016.aug16_1.bcr2016216320.3","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.1.45"},{"key":"2025042703531448000_2016.aug16_1.bcr2016216320.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.06.032"},{"key":"2025042703531448000_2016.aug16_1.bcr2016216320.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2009.01069.x"},{"key":"2025042703531448000_2016.aug16_1.bcr2016216320.6","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-200720"},{"key":"2025042703531448000_2016.aug16_1.bcr2016216320.7","doi-asserted-by":"crossref","unstructured":"Ramos A , Garc\u00eda-Montero C , Moreno A , et al . Endocarditis in patients with ascending aortic prosthetic graft: a case series from a national multicentre registry. Eur J Cardiothorac Surg 2016;pii: ezw190.","DOI":"10.1093\/ejcts\/ezw190"},{"key":"2025042703531448000_2016.aug16_1.bcr2016216320.8","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3181d47d48"},{"key":"2025042703531448000_2016.aug16_1.bcr2016216320.9","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.113.01318"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-216320","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:53:24Z","timestamp":1745751204000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-216320"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,16]]},"references-count":9,"alternative-id":["10.1136\/bcr-2016-216320"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-216320","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,16]]}}}