Reoperations for Aortic False Aneurysms After Cardiac Surgery

Malvindi, Pietro Giorgio; Putte, Bart P. van; Heijmen, Robin H.; Schepens, Marc A.A.M.; Morshuis, Wim J.

doi:10.1016/j.athoracsur.2010.06.103

Cited by 88 publications

(109 citation statements)

References 28 publications

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“…However, high rate of life-threating situations related to this entity have been described, which make early intervention essential (4). The most frequent place for pseudoaneurysm after AVR is the aortic cannulation location and the suture line of the aortotomy (3,5). Our patient had an infrequent site of both pseudoaneurysms, which were related to the aortic annulus, below the implanted prosthesis.…”

Section: Discussionmentioning

confidence: 93%

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Double pseudoaneurysm, recurrent subvalvular aortic membrane and small left ventricular outflow tract in the same patient: who dares?

et al. 2017

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Patients with pseudoaneurysm in the left ventricular outflow tract (LVOT) commonly present vague and nonspecific symptoms making the diagnosis difficult. We present the case of a 37-year-old patient with two subvalvular pseudoaneurysms in whom a combined resection surgery, enlargement of the LVOT, aortic valve replacement (AVR) and aortic root replacement were performed using the technique of Cabrol.

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Section: Discussionmentioning

confidence: 93%

“…Its diagnosis is difficult since it does not present specific symptoms (1). However, they are an important source of life threatening complications such as fistula formation, rupture or thrombosis of the pseudoaneurysm and compression of adjacent structures (2,3).…”

Section: Introductionmentioning

confidence: 99%

Double pseudoaneurysm, recurrent subvalvular aortic membrane and small left ventricular outflow tract in the same patient: who dares?

et al. 2017

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“…Various mechanisms for the formation of false aneurysm have been reported, including infection, poor anastomotic technique during surgery and intrinsic aortic wall disease. [1][2] However, site from the false lumen was lower than the actual aortic blood pressure. In our case, the patient might have had favorable conditions for the formation of a false aneurysm.…”

Section: Case Reportmentioning

confidence: 99%

“…When the pressure in the false aneurysm exceeds the maximally tolerated tension of the surrounding tissue, fatal rupture occurs. 1) In particular, a false aneurysm that forms rapidly has a thin and fragile wall, and emergent surgery is needed. We report a rare case of ascending aortic false aneurysm formation associated with ruptured acute type A aortic dissection.…”

Section: Introductionmentioning

confidence: 99%

Ascending Aortic False Aneurysm Formation Associated with Rupture of Acute Type A Aortic Dissection

Yamane

Mukai

Morimoto

et al. 2015

Annals of Vascular Diseases

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A 63-year-old man with ruptured acute type A aortic dissection was referred to our hospital. Computed tomography showed a false aneurysm arising from the false lumen located beside the ascending aorta. His hemodynamic status was stable inspite of the ruptured acute aortic dissection. We consider that the containment of the false aneurysm by thin mediastinal structures prevented worsening of his hemodynamic status, and this is extremely rare.Keywords: aneurysm, aortic dissection, aortic operation surgery. When he arrived at our hospital, his hemodynamic status was stable, his blood pressure was 110/78 mmHg and his heart rate was 78 beats/min (regular). CT fi lms from the referring hospital showed pericardial effusion and a ruptured type A aortic dissection with a primary entry tear in the distal aortic arch (Fig. 1A). In addition, there was a false aneurysm arising from the false lumen that was enhanced in the early phase (Fig. 1B). The false aneurysm was located beside the ascending aorta and expanding into the transverse sinus (Fig. 1C, D). We performed an emergency operation. After median sternotomy, the pericardial cavity was found to be fi lled with old blood, and there was no pericardial adhesion. Total cardiopulmonary bypass was initiated with retrograde perfusion through the femoral artery and bicaval venous drainage with left ventricular venting. After antegrade cold blood cardioplegia was selectively administered, cardiac arrest was obtained. However we could not fi nd the tear of adventitia which had caused the false aneurysm, we could identify the false aneurysm surrounded by connective tissue and hematoma. We thought that the tear of adventitia was located in the ascending aorta because adventitia of the aortic root was not ruptured. The transected proximal stump of the ascending aorta was reconstructed with both inner and outer Tefl on felt. He was cooled to 28°C, the ascending aorta was opened and selective antegrade cerebral perfusion was established. We performed total arch replacement using Dacron graft. Thoracic endovascular aortic repair was performed to close the primary entry 12 days after the surgery. The false aneurysm was not seen on the postoperative CT (Fig. 2), and his postoperative course was satisfactory. DiscussionFalse aneurysm is a rare and life threatening complication that occurs in 0.5% of all cardiac surgical cases. 2) False aneurysm of the thoracic aorta results from transmural disruption of the aortic wall and is contained by the surrounding mediastinal structures. When the pressure in the

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“…Theaortic false aneurysm may surrounded and restricted by the layers or structures of themediastinum [2]. The clinical presentation of a false aneurysms of the ascending aorta are persistent infection and systemic embolization, bleeding, fistula, compression, orerosion of the surrounding structures.…”

Section: Introductionmentioning

confidence: 99%

Asaccular Aneurysm of the Ascending Aorta Following Coronary Artery Bypass Graft Surgery

Deşer¹

2016

MOJS

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Reoperations for Aortic False Aneurysms After Cardiac Surgery

Cited by 88 publications

References 28 publications

Double pseudoaneurysm, recurrent subvalvular aortic membrane and small left ventricular outflow tract in the same patient: who dares?

Double pseudoaneurysm, recurrent subvalvular aortic membrane and small left ventricular outflow tract in the same patient: who dares?

Ascending Aortic False Aneurysm Formation Associated with Rupture of Acute Type A Aortic Dissection

Asaccular Aneurysm of the Ascending Aorta Following Coronary Artery Bypass Graft Surgery

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