Ruptured pseudoaneurysm of aortic root graft into the pulmonary artery as a cause of severe heart failure

Bestetti, Reinaldo B.; Marot, José Roberto Costa; Stella, Ulysses B.; Finzi, L A

doi:10.1016/s1054-8807(03)00031-0

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…[2][3][4][5] Fistula formation between an aortic pseudoaneurysm and the pulmonary artery has also been reported occasionally. [2][3][4] However, reports of fistula formation between an aortic pseudoaneurysm and the right atrium have been rare. 5 Although diagnosis of a aortic pseudoaneurysm is possible with enhanced CT or DSA, it is difficult to define a fistula even with the help of various imaging studies.…”

Section: Discussionmentioning

confidence: 99%

Aorto-right atrial fistula following acute type A aortic dissection repair

Suzuki

Kazui

Bashar

et al. 2006

Jpn J Thorac Cardiovasc Surg

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This report describes a rare case of aorto-right atrial fistula caused by rupture of a huge pseudoaneurysm that developed at the proximal aortic anastomotic site after total aortic arch replacement for acute type A aortic dissection. Preoperative aortography revealed that the fistula communicated with the right heart, but it was intraoperative Doppler transesophageal echocardiography that confirmed its course into the right atrium. Repeat total aortic arch replacement with concomitant direct closure of the fistula was performed successfully. The underlying cause of the pseudoaneurysm was the dehiscence of sutures at the proximal aortic anastomotic site, probably due to gelatin-resorcin-formaldehyde glue.

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Section: Discussionmentioning

confidence: 99%

Aorto-right atrial fistula following acute type A aortic dissection repair

Suzuki

Kazui

Bashar

et al. 2006

Jpn J Thorac Cardiovasc Surg

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Staged Repair of an Aortopulmonary Fistula From a Large Ascending Aortic Pseudoaneurysm: The Role of Transesophageal Echocardiography

Wakefield¹,

Winter

Alfirevic

2016

Journal of Cardiothoracic and Vascular Anesthesia

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Successful Reoperation for Anastomotic Pseudoaneurysm Fistulation into the Right Pulmonary Artery

et al. 2020

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A 71-year-old man presented to our hospital with sudden-onset epigastric pain. He reported a history of undergoing the following operations : aortic valve replacement for aortic regurgitation 11 years earlier and graft replacement of the ascending aorta for acute type A aortic dissection, 1 year earlier. His systolic blood pressure was 70 mmHg, and computed tomography revealed a pseudoaneurysm of the distal anastomosis of the ascending aorta with a connection to the right pulmonary artery. Cardiopulmonary bypass was established with cannulation of the right axillary artery and the right femoral vein, and systemic cooling was initiated before sternotomy. We identified an area showing 3 cm dehiscence at the distal aortic anastomosis after hypothermic circulatory arrest and selective cerebral perfusion. The ascending aorta was replaced as hemiarch replacement, and the defect in the right pulmonary artery was closed with bovine pericardium. The patient s postoperative course was uneventful, and he was transferred to a rehabilitation hospital on the 22nd postoperative day.

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Ruptured pseudoaneurysm of aortic root graft into the pulmonary artery as a cause of severe heart failure

Cited by 3 publications

References 6 publications

Aorto-right atrial fistula following acute type A aortic dissection repair

Aorto-right atrial fistula following acute type A aortic dissection repair

Staged Repair of an Aortopulmonary Fistula From a Large Ascending Aortic Pseudoaneurysm: The Role of Transesophageal Echocardiography

Successful Reoperation for Anastomotic Pseudoaneurysm Fistulation into the Right Pulmonary Artery

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