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quiz 
Quiz {#650
  -id: 105
  -titre: "Masse thoracique énorme chez un patient ayant subi une intervention de Bentall"
  -titreEn: "A Huge mass in a patient who underwent Bentall intervention"
  -type: "Chirurgie cardiaque"
  -typeEn: "Heart surgery"
  -auteur: "Drs. Aymen Dammak, Hela Ben Jmaa"
  -service: "<p>Service de chirurgie cardiovasculaire, H&ocirc;pital Habib Bourguiba</p>"
  -serviceEn: "<p>Cardiovascular surgery department, Habib Bourguiba Hospital</p>"
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  -commentaire: """
    <p>Il s&#39;agit d&#39;un cas rare de pseudo-an&eacute;vrisme anastomotique de l&#39;anastomose distale apr&egrave;s l&#39;intervention de Bentall, qui est une complication fatale en raison du risque de rupture et de mort subite.</p>\r\n
    \r\n
    <p>La pr&eacute;sentation peut &ecirc;tre vari&eacute;e et se d&eacute;veloppe souvent plusieurs ann&eacute;es apr&egrave;s l&#39;intervention chirurgicale, comme dans notre cas. &nbsp;</p>\r\n
    \r\n
    <p>Le patient a &eacute;t&eacute; op&eacute;r&eacute; sous circulation extracorporelle entre l&#39;art&egrave;re axillaire et la veine f&eacute;morale. Une hypothermie profonde et un arr&ecirc;t circulatoire ont &eacute;t&eacute; r&eacute;alis&eacute;s avant la sternotomie.</p>\r\n
    \r\n
    <p>L&#39;intervention a consist&eacute; en la r&eacute;section du faux an&eacute;vrisme et l&#39;interposition d&#39;une proth&egrave;se pour &eacute;tablir la continuit&eacute; de l&#39;aorte ascendante.</p>
    """
  -commentaireEn: """
    <p style="text-align:justify">This was a rare case of anastomotic pseudo-aneurysm of the distal anastomosis after the Bentall procedure, which is a fatal complication because of its risk of rupture and sudden death.</p>\r\n
    \r\n
    <p>The presentation can be varied and often develop many years after surgery as in our case. &nbsp;</p>\r\n
    \r\n
    <p>The patient was operated under cardiopulmonary bypass between the axillary artery and the femoral vein. A deep hypothermia and circulatory arrest was performed before sternotomy.</p>\r\n
    \r\n
    <p>The intervention consisted on resection of the false aneurysm and interposition of a prosthesis to establish the continuity of the ascending aorta.</p>\r\n
    \r\n
    <p>The postoperative course was favourable.</p>
    """
  -description: """
    <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="color:black">Un homme de 60 ans</span></strong></span></span></p>\r\n
    \r\n
    <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="color:black">Il a subi une intervention de Bentall il y a 14 ans pour une dissection de l&#39;aorte ascendante.</span></strong></span></span></p>\r\n
    \r\n
    <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="color:black">Douleur thoracique</span></strong></span></span></p>\r\n
    \r\n
    <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="color:black">Masse thoracique</span></strong></span></span></p>
    """
  -descriptionEn: """
    <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="color:black">A 60-year-old man</span></strong></span></span></p>\r\n
    \r\n
    <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="color:black">He underwent Bentall intervention 14 years ago for dissection of the ascending aorta</span></strong></span></span></p>\r\n
    \r\n
    <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="color:black">Chest pain </span></strong></span></span></p>\r\n
    \r\n
    <p><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="color:black">Thoracic mass </span></strong></span></span></p>
    """
  -casdemois: Casdemois {#477 …}
  #question: PersistentCollection {#608 …}
  #media: PersistentCollection {#673 …}
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