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Abstract

A pseudoaneurysm of the ascending aorta is an unusual and potentially fatal complication after aortic surgical operations. TEE and CT scan are the investigations of choice. Surgical treatment is mandatory. We describe the successful management of a pseudoaneurysm of the ascending aorta, with aorto-sternal-cutaneous fistula requiring right axillary and femoral artery cannulation with Remote Access Perfusion(R) aortic cannula (Estech(R), California, USA). Behaving like this we avoid hypotermic circulatory arrest, provide safe reentry and prevent an impending rupture.

Successful Surgical Treatment of a Giant Mediastinal False Aneurysm 30 Years after Bentall Operation

“…Surgical repair is mandatory. A careful approach consisting of peripheral venous and arterial cannulation along with deep cooling and a short period of cardiocirculatory arrest before sternotomy is recommended in order to avoid catastrophic and uncontrollable bleeding [9] during sternal reentry.…”

Surgical exclusion of postsurgical pseudoaneurysm of the ascending aorta

“…[ 3 ] Newer imaging techniques allows real perception of the three-dimensional profile with regards to location, extension, neck size, and proximity to coronaries. Repair without bypass,[ 10 ] hypothermia, and alternative pump techniques are some of the attempts to reduce morbidities. The first successful percutaneous exclusion dates back to 2005.…”