DIAGNOSIS OF A PSEUDOANEURYSM OF THE ASCE NDING AORTA AFTER COMPOSITEGRAFT IMPLANTATION BY MULTIPLANE TRANSESOPHAGEAL ECHOCARDIOGRAPHY

In a 48-year-old male patient with Marfan syndrome who underwent compo site graft replacement of the ascending aorta and the aortic valve wit h reimplantation of the coronary arteries a cardiac enlargement was de tected by routine chest x-ray. Transthoracal echocardiography showed a pseudoaneurysm around the composite graft. The examination with a mul tiplane transesophageal echocardiographic probe demonstrated a systoli c-diastolic jet into the pseudoaneurysm with the site of origin at the ostium of the right coronary artery.