Surgical management of a giant ascending aortic pseudoaneurysm

Juan D. Garisto, Andres Medina, Donald B. Williams, Roger G. Carrillo

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Aortic pseudoaneurysm is a rare, life-threatening complication after cardiac or aortic root surgery. When a pseudoaneurysm has eroded bony structures in the chest, the surgeon's challenge is to choose the safest approach for sternotomy. Herein, we report the case of a 74-year-old woman who presented with a giant pseudoaneurysm of the ascending aorta, 8 years after undergoing aortic valve replacement. The 8.9 × 5.8-cm formation arose in the anterior aortic sinus, extended to the retrosternal region, exerted mass effect on the main pulmonary artery, and eroded the bony structures of the sternum and medial upper chest. A new aortic valved tissue conduit was placed, and the coronary arteries were reim planted. The patient recovered without neurologic sequelae. We discuss the characteristics of this case and explain our surgical decisions.

Original languageEnglish (US)
Pages (from-to)710-713
Number of pages4
JournalTexas Heart Institute Journal
Issue number6
StatePublished - Dec 1 2010


  • Adverse effects
  • Aneurysm
  • Aortic aneurysm
  • Blood vessel prosthesis implantation
  • Cardiac surgical procedures
  • Cardiopulmonary bypass
  • Circulatory arrest
  • Deep hypothermia induced
  • False/ diagnosis/ etiology/ radiology/ surgery
  • Reoperation
  • Risk factors
  • Surgery
  • Thoracic
  • Tomography
  • Treatment outcome
  • X-ray computed

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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