Pulmonary stenosis caused by extrinsic compression of an aortic pseudoaneurysm of a composite aortic graft

Pulmonic stenosis and stenosis of the right ventricular outflow tract relat ed to extrinsic compression have been described in patients with tumors, in a patient with a pericardial cyst, and in patients with vascular abnormali ties as an unruptured sinus of Valsalva aneurysm, a giant coronary artery p seudoaneurysm and an aortic arch aneurysm. Composite graft replacement of t he ascending aorta and aortic valve with reimplantation of the coronary art eries has some inherent complications. Our case report describes a patient with a pericomposite graft aneurysm presenting as a stenosis of the pulmona ry artery, detected by Doppler echocardiography.