TY - JOUR
T1 - Surgical management of a giant ascending aortic pseudoaneurysm
AU - Garisto, Juan D.
AU - Medina, Andres
AU - Williams, Donald
AU - Carrillo, Roger
PY - 2010/12/1
Y1 - 2010/12/1
N2 - 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.
AB - 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.
KW - Adverse effects
KW - Aneurysm
KW - Aortic aneurysm
KW - Blood vessel prosthesis implantation
KW - Cardiac surgical procedures
KW - Cardiopulmonary bypass
KW - Circulatory arrest
KW - Deep hypothermia induced
KW - False/ diagnosis/ etiology/ radiology/ surgery
KW - Reoperation
KW - Risk factors
KW - Surgery
KW - Thoracic
KW - Tomography
KW - Treatment outcome
KW - X-ray computed
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M3 - Article
C2 - 21224953
AN - SCOPUS:79251523508
VL - 37
SP - 710
EP - 713
JO - Texas Heart Institute Journal
JF - Texas Heart Institute Journal
SN - 0730-2347
IS - 6
ER -