Pseudoaneurysms of the Ascending Aorta Following Coronary Artery Bypass Surgery

Abstract

This highlights the varied presentation, necessity for urgent diagnosis and repair with a high operative mortality due to the late presentation. Aggressive diagnosis should be sought and consideration should be given to catheter-based interventions for initial treatment.

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

“…The most frequently isolated pathogen in CABG groups is S aureus [1,8], but Candida species and gram-negative bacteria are more common after heart or heart-lung transplantation [1]. Rarely other organisms such as Pseudomonas aeruginosa or Klebsiella pneumoniae have been reported in the ascending aorta mycotic pseudoaneurysm after cardiac surgical procedures [1,4].…”

A Tale of Three Surgeries: Management of a Massive Recurrent Mycotic Aortic Pseudoaneurysm

“…2 As with the patient presented here, multiple case series have identified the Staphylococcus species as the culprit organism. 2,4 …”

“…3,4 Incidence of cardiac surgery–related aortic pseudoaneurysms is difficult to measure due to the rarity of these cases; several large single-institution case series report an average rate of 2 to 3 cases per year 2,4–7 with an overall incidence of less than 0.5% of all cardiac surgical procedures. 2 Some argue this may be underestimated, however, in patients with a history of ascending aortic procedures, for which the incidence may reach 12% to 15%.…”

Surgical Management of a Ruptured Pseudoaneurysm Late after Total Arch Replacement with Omentoplasty

“…[5][6][7] A major surgical challenge is to choose the appropriate surgery when a pseudoaneurysm has ruptured and especially after an omentoplasty has been performed.…”

“…5,6) The last etiology is the most frequent cause. 6) Aortic pseudoaneurysm occurs in 0.5% of all cardiovascular surgical cases.…”