Leakage of coronary artery anastomosis combined with pseudoaneurysm formation is a serious complication after Bentall procedure, and it is very rare to occur simultaneously in both sides.The patient also had a distal ascending aorta anastomosis -- aortic arch dissection.Based on the analysis of this case and the previous domestic and foreign literature, ultrasound examination is expected to confirm the early diagnosis and guide clinical treatment. The report is as follows.