Surgical management of a giant ascending aortic pseudoaneurysm

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

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

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
Pages (from-to)710-713
Number of pages4
JournalTexas Heart Institute Journal
Volume37
Issue number6
StatePublished - Dec 1 2010

Fingerprint

False Aneurysm
Thorax
Sinus of Valsalva
Sternum
Sternotomy
Aortic Valve
Nervous System
Pulmonary Artery
Aorta
Coronary Vessels

Keywords

  • 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

Cite this

Garisto, J. D., Medina, A., Williams, D., & Carrillo, R. (2010). Surgical management of a giant ascending aortic pseudoaneurysm. Texas Heart Institute Journal, 37(6), 710-713.

Surgical management of a giant ascending aortic pseudoaneurysm. / Garisto, Juan D.; Medina, Andres; Williams, Donald; Carrillo, Roger.

In: Texas Heart Institute Journal, Vol. 37, No. 6, 01.12.2010, p. 710-713.

Research output: Contribution to journalArticle

Garisto, JD, Medina, A, Williams, D & Carrillo, R 2010, 'Surgical management of a giant ascending aortic pseudoaneurysm', Texas Heart Institute Journal, vol. 37, no. 6, pp. 710-713.
Garisto JD, Medina A, Williams D, Carrillo R. Surgical management of a giant ascending aortic pseudoaneurysm. Texas Heart Institute Journal. 2010 Dec 1;37(6):710-713.
Garisto, Juan D. ; Medina, Andres ; Williams, Donald ; Carrillo, Roger. / Surgical management of a giant ascending aortic pseudoaneurysm. In: Texas Heart Institute Journal. 2010 ; Vol. 37, No. 6. pp. 710-713.
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