Asymptomatic Mycotic Aneurysm of Ascending Aorta After Heart Transplantation: A Case Report

Behzadnia, Neda; Ahmadi, Z.H.; Mandegar, Mohammad Hossein; Salehi, Forouzan; Kashani, Babak Sharif; Toutkaboni, Mihan Pourabdollah; Aval, Zahra Ansari; Kianfar, Amir Abbas; Eiji, Misagh

doi:10.1016/j.transproceed.2014.10.036

Cited by 6 publications

(10 citation statements)

References 11 publications

(19 reference statements)

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“…4 In the literature, most patients with a heart transplant history were treated by surgery. 8,12,13 However, some authors have proposed alternatives in high-risk surgical patients such as atrial septal defect occluder, vascular plugs, stents, coil embolization, and thrombin injection with favorable reported outcomes. [3][4][5] Endovascular management is less aggressive and is associated with less blood loss F I G U R E 1 Preprocedural CT shows the AAP (white arrow) with a size of 16.2 × 14.2 mm and a neck (yellow arrow) adjacent to the left side of aortic anastomosis F I G U R E 2 A frontal view of a CT reconstruction shows the AAP (white arrow) adjacent to the left side of aortic anastomosis and shorter procedural time.…”

Section: Discussionmentioning

confidence: 99%

“…Reoperations are associated with extensive bleeding or cerebral air embolism during resternotomy 4 . In the literature, most patients with a heart transplant history were treated by surgery 8,12,13 . However, some authors have proposed alternatives in high‐risk surgical patients such as atrial septal defect occluder, vascular plugs, stents, coil embolization, and thrombin injection with favorable reported outcomes 3‐5 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous endovascular management of ascending aortic pseudoaneurysm after heart transplantation in a pediatric patient

Skrabonja‐Crespo¹,

Chavarri‐Velarde

Pinto‐Salinas

et al. 2020

Pediatric Transplantation

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Ascending aortic pseudoaneurysm is a rare complication after HT. Surgery is the most conventional management, but in some patients, it is risky. We report the case of a ten-year-old child who underwent HT and developed an ascending aortic pseudoaneurysm in the aortic anastomosis. He was successfully treated with two covered stents through endovascular management. Endovascular therapy is an alternative management in high-risk patients. To our knowledge, this is the first report about endovascular therapy of an AAP after HT in a pediatric patient.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Percutaneous endovascular management of ascending aortic pseudoaneurysm after heart transplantation in a pediatric patient

Skrabonja‐Crespo¹,

Chavarri‐Velarde

Pinto‐Salinas

et al. 2020

Pediatric Transplantation

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show abstract

“…Reoperations are associated with extensive bleeding or cerebral air embolism during resternotomy (4). In the literature, most patients with a history of heart transplantation were treated by surgery (8,12,13). However, in highrisk patients, some authors have proposed new alternatives such as using Atrial Septal Defect occluder, vascular plugs, stents, coil embolization, and thrombin injection with favorable outcomes (3)(4)(5).…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Endovascular Management of Ascending Aortic Pseudoaneurysm after Heart Transplantation in a Pediatric Patient

Crespo¹,

Velarde²,

Salinas

et al. 2020

Preprint

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Ascending aortic pseudoaneurysm is a rare complication in heart transplantation. Surgery is the most conventional management, but, in some cases, it is high-risky. We report the case of a ten-year-old child with heart transplantation that developed ascending aortic pseudoaneurysm in the aortic anastomosis successfully treated with two covered stents through endovascular management. To our knowledge, this is the first report about endovascular therapy of an ascending aorta pseudoaneurysm after heart transplantation in a pediatric patient.

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“…An infected aneurysm of the ascending aorta is rare, and a successful surgical treatment has been reported in Refs. [119][120][121][122][123].…”

Section: Traditional Open Repairmentioning

confidence: 99%

Infected Aortic Aneurysms

Lin¹,

Kan²

2017

Aortic Aneurysm

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Infected aortic aneurysms are surgical urgencies, requiring prompt management to avoid the development of catastrophic complications. Although traditional open surgery composed of radical debridement and aortic reconstruction remains the gold-standard, many favorable results of the endovascular repair strategy have been reported. In this chapter, the etiology, bacteriology, clinical manifestation, and diagnostic criteria of infected aortic aneurysms will be discussed in detail at first, followed by a comprehensive review of both traditional open surgery and endovascular repair, based on current evidences and the authors' institutional experience. Along with long-term oral antibiotic suppression and aggressive adjunctive procedures, endovascular repair for uncomplicated infected aortic aneurysms could be a definite treatment alternative to traditional open surgery in the endovascular era.

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Asymptomatic Mycotic Aneurysm of Ascending Aorta After Heart Transplantation: A Case Report

Cited by 6 publications

References 11 publications

Percutaneous endovascular management of ascending aortic pseudoaneurysm after heart transplantation in a pediatric patient

Percutaneous endovascular management of ascending aortic pseudoaneurysm after heart transplantation in a pediatric patient

Percutaneous Endovascular Management of Ascending Aortic Pseudoaneurysm after Heart Transplantation in a Pediatric Patient

Infected Aortic Aneurysms

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