A Case of Anastomotic Pseudoaneurysm at an Anastounosis between Two Woven Dacron Prostheses Following Aortic Arch Replacement.

Izumiyama, O; Yamashita, Akio; Sugimoto, Satoru; Baba, Masahito

doi:10.4326/jjcvs.29.191

Cited by 3 publications

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“…While the formation of a pseudoaneurysm after thoracic aorta synthetic vascular graft replacement is rare, it is a possibly fatal complication once it develops. Reported causes of pseudoaneurysm formation include synthetic vascular graft infection, deterioration/enlargement of synthetic vascular graft, deterioration of suture thread, hypertension, aortic dissection, mechanical stress at the anastomotic site, and tissue necrosis due to the excessive use of gelatin resorcin formalin (GRF) glue [ 3 , 4 , 10 ]. Consequently, the pseudoaneurysm in this case had no obvious cause.…”

Section: Discussionmentioning

confidence: 99%

Reoperation for a giant arch anastomotic pseudoaneurysm eleven years after total arch replacement with island reconstruction

Matsuura

Tsutsumi

Monta

et al. 2018

J Cardiothorac Surg

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BackgroundThe long-term effects of some surgical treatment procedures of arch replacement for aortic dissection or aortic aneurysm are unknown.Case presentationThe present study reports the case of a 68-year-old man admitted to our hospital for aortic arch anastomotic pseudoaneurysm with concomitant aortic root enlargement and coronary artery stenosis. Eleven years ago, at the age of 56 years, he underwent total arch replacement with island reconstruction for chronic aortic dissection. We performed a second total arch replacement, aortic root replacement, and coronary artery bypass, using a cardiopulmonary bypass with cannulation through the right subclavian artery, femoral artery, and femoral vein prior to re-sternotomy. We also used selective cerebral perfusion. Postoperatively, the patient temporarily required reintubation; however, he was discharged in good condition on the fiftieth postoperative day.ConclusionsThis case suggests that island reconstruction has the potential to cause arch anastomotic pseudoaneurysms, particularly after a long postoperative period.

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Section: Discussionmentioning

confidence: 99%

Reoperation for a giant arch anastomotic pseudoaneurysm eleven years after total arch replacement with island reconstruction

Matsuura

Tsutsumi

Monta

et al. 2018

J Cardiothorac Surg

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“…2) Anastomotic pseudoaneurysms can be caused by numerous factors, including the deterioration of sutures or grafts, arterial degeneration, and infection. 3) Herein, we report our experience with a case complicated by hemolytic anemia due to external compression of the graft by an aortic pseudoaneurysm 14 years after emergency graft replacement for ATA AD.…”

Section: Introductionmentioning

confidence: 99%

Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report

Izaki

Kawai

Kobayashi

et al. 2023

Annals of Vascular Diseases

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A 64-year-old male patient who presented with symptoms indicative of hemolytic anemia was referred to our hospital. After obtaining the patient’s history, it was found that hemolysis occurred 14 years after he underwent ascending aortic replacement for acute type A aortic dissection. Enhanced computed tomography revealed an aortic pseudoaneurysm at the proximal anastomosis, which was thought to be the cause of hemolysis. Furthermore, aortic valve regurgitation and dilatation of the sinus of Valsalva were also found on a transthoracic echocardiogram. Therefore, the Bentall procedure was performed. During the surgery, aortic pseudoaneurysm formation and vascular graft stenosis were observed. The postoperative course was uneventful, and hemolysis diminished soon after the surgery.

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A Case of Giant Pseudoaneurysm Following Island-Fashion Arch Reconstruction

Matsuura¹,

Tsutsumi²,

Monta³

et al. 2015

J. J. C. V. S.

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We report the rare case of a 68-year-old man, who was admitted to our hospital with a diagnosis of aortic arch anastomotic pseudoaneurysm, with concomintant aortic root enlargement and coronary artery stenosis. Eleven years previously, at age 56, he underwent total arch replacement with island reconstruction for chronic aortic dissection. We performed redo total arch replacement, aortic root replacement and coronary artery bypass, making use of a cardiopulmonary bypass with cannulation through the right subclavian artery, femoral artery and femoral vein before resternotomy. We also used selective cerebral perfusion. Postoperatively, the patient temporarily required reintubation ; however, he was discharged in good condition on the 50th post-operative day. The case suggests that island reconstruction has the potential to cause an aortic arch pseudoaneurysm, particularly after a long postoperative period of time. Therefore, thorough postoperative care strategy is required. We also need to consider surgical reconstructive techniques which eliminate vascular lesions as much as possible at the time of the primary surgery, particularly in cases of chronic aortic dissection. Jpn. J. Cardiovasc. Surg. 44 : 232 236 2015 island reconstruction ; pseudoaneurysm ; arch replacement 1, 2 3 5 11 68

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A Case of Anastomotic Pseudoaneurysm at an Anastounosis between Two Woven Dacron Prostheses Following Aortic Arch Replacement.

Abstract: The possibility of anastomotic pseudoaneurysms as a life-threatening complication following

Cited by 3 publications

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Reoperation for a giant arch anastomotic pseudoaneurysm eleven years after total arch replacement with island reconstruction

Reoperation for a giant arch anastomotic pseudoaneurysm eleven years after total arch replacement with island reconstruction

Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report

A Case of Giant Pseudoaneurysm Following Island-Fashion Arch Reconstruction

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